Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT013330L | PA |
NPI | 1053538058 |
---|---|
Provider Name | Mr. Joseph Daniel Oberholzer |
First Address | Dallastown, PA 17313-9302 |
Second Address | York, PA 17402-2514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |