| Organization Name: | PENN STATE MEDICAL CENTER |
| NPI Number: | 1477790871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA TAYLOR (OWNER) |
| Mailing Address: | 30 Hope Dr Bldg B Suite 1500 Hershey |
| State: | PA US |
| Postal Code: | 170332036 |
| Phone Number: | 7175318070 |
| Fax Number: | 7175310138 |
| NPI Enumeration Date: | 01/07/2009 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2409 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |