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Organization

MAIN LINE HAND CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBERTA F MORRIS OTRL CHR (OWNER DIRECTOR)
(610) 651-8282
Entity
Organization

Contact information

Practice address
250 W LANCASTER AVE, SUITE 205, PAOLI, PA 19301-1743
(610) 651-8282
(610) 651-8213
Mailing address
250 W LANCASTER AVE, SUITE 205, PAOLI, PA 19301-1743
(610) 651-8282
(610) 651-8213

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
225XH1200X
Hand Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401979000
PERSONAL CHOICE 65 TERI S
01
2116418000
KEYSTONE HPE KEYSTONE 65
01
2116515000
PERSONAL CHOICE ROBERTA M
01
2627004000
PERSONAL CHOICE 65 KATHY
01
3207843
AETNA PPO
01
P00122385
MEDICARE RAILROAD
Enumeration date
09/21/2006
Last updated
08/01/2008
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