Provider Demographics
NPI:1649207325
Name:HAROLD MILLMAN PT
Entity Type:Organization
Organization Name:HAROLD MILLMAN PT
Other - Org Name:BETHLEHEM REHABILITATION SPECIALISTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER DIRECTOR PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT OCS
Authorized Official - Phone:610-868-2211
Mailing Address - Street 1:41 EAST ELIZABETH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6504
Mailing Address - Country:US
Mailing Address - Phone:610-868-2211
Mailing Address - Fax:610-868-8871
Practice Address - Street 1:41 EAST ELIZABETH AVENUE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6504
Practice Address - Country:US
Practice Address - Phone:610-868-2211
Practice Address - Fax:610-868-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HA906582OtherHIGHMARK
0053732OtherAETNA
02522300OtherCAPITAL BLUE CROSS
HA906582OtherHIGHMARK