Provider Demographics
NPI:1942928411
Name:AHSOPC THERAPY, PC
Entity Type:Organization
Organization Name:AHSOPC THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE PROVIDER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:267-288-5060
Mailing Address - Street 1:1200 BUSTLETON PIKE STE 7
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4108
Mailing Address - Country:US
Mailing Address - Phone:267-288-5060
Mailing Address - Fax:267-288-5059
Practice Address - Street 1:1200 BUSTLETON PIKE STE 7
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-4108
Practice Address - Country:US
Practice Address - Phone:267-288-5060
Practice Address - Fax:267-288-5059
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCOMMODATING HEALTHCARE SOLUTIONS, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-19
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)