Provider Demographics
NPI:1700960044
Name:OHL, DAVID WARD (ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:WARD
Last Name:OHL
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 DONLENIK
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8257
Mailing Address - Country:US
Mailing Address - Phone:717-741-5653
Mailing Address - Fax:
Practice Address - Street 1:PENN MANOR SCHOOL DISTRICT
Practice Address - Street 2:2950 CHARLESTOWN RD
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603
Practice Address - Country:US
Practice Address - Phone:717-872-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART001351A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer