Organization
BARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H SCHRAM (EXECUTIVE DIRECTOR)
(215) 794-0800
Entity
Organization
Contact information
Practice address
4950 YORK RD, BUCKINGHAM GREEN 1 NORTH, ROUTE 202, HOLICONG, PA 18928-0470
(215) 794-0800
(215) 794-0958
Mailing address
4950 YORK RD, PO BOX 470, HOLICONG, PA 18928-0470
(215) 794-0800
(215) 794-0958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013286L
PA
225X00000X
Occupational Therapist
OC009936
PA
235Z00000X
Speech-Language Pathologist
SL003933L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000166
MASTER PROVIDER INDEX
PA
Enumeration date
08/04/2008
Last updated
08/04/2008
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