Provider Demographics
NPI:1861491094
Name:HAND AND ARTHRITIS REHABILITATION CENTER INC.
Entity Type:Organization
Organization Name:HAND AND ARTHRITIS REHABILITATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:814-453-4743
Mailing Address - Street 1:300 STATE ST
Mailing Address - Street 2:SIUTE 206
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1427
Mailing Address - Country:US
Mailing Address - Phone:814-453-4743
Mailing Address - Fax:814-453-7199
Practice Address - Street 1:300 STATE ST
Practice Address - Street 2:SIUTE 206
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1427
Practice Address - Country:US
Practice Address - Phone:814-453-4743
Practice Address - Fax:814-453-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000758E225100000X
PAPT004147L225100000X
PAPT014022L225100000X
PAOC000614L225X00000X
PAOC001937L225X00000X
PAOC009083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396612Medicare ID - Type Unspecified