Organization
PENN STATE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA TAYLOR MS,PT (OWNER)
(808) 277-6167
Entity
Organization
Contact information
Practice address
30 HOPE DR BLDG B, SUITE 1500, HERSHEY, PA 17033-2036
(717) 531-8070
(717) 531-0138
Mailing address
500 UNIVERSITY DR # MCA410, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1479
HI
225100000X
Physical Therapist
1988
HI
225100000X
Physical Therapist
2409
HI
225100000X
Physical Therapist
895
HI
282N00000X
General Acute Care Hospital
Primary
022520
PA
Other
Enumeration date
01/07/2009
Last updated
07/29/2013
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