Organization
MAIN LINE HAND CENTER LLC
Active
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
Update your record
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