Provider Demographics
NPI:1821301888
Name:OCCUPATIONAL & HAND THERAPY SPECIALISTS
Entity Type:Organization
Organization Name:OCCUPATIONAL & HAND THERAPY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANDIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-854-2029
Mailing Address - Street 1:1495 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3852
Mailing Address - Country:US
Mailing Address - Phone:717-854-2029
Mailing Address - Fax:717-854-2042
Practice Address - Street 1:1495 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3852
Practice Address - Country:US
Practice Address - Phone:717-854-2029
Practice Address - Fax:717-854-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA615465500OtherUS DEPT OF LABOR
PA002516549OtherHIGHMARK BLUE SHIELD
PA002516549OtherHIGHMARK BLUE SHIELD