Kyle Horan

Individual provider Active NPI Occupational Therapist · Dresher, PA

NPI 1215549704 · NPPES record last updated Aug 18, 2020

Key facts

NPI
1215549704
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC016999 (PA)
Practice address
1956 Limekiln Pike
Dresher, PA 19025-1917
Phone
(484) 393-2243
NPI assigned
Aug 18, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OC016999PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X OC016999 PA Yes

Addresses

Primary practice location

1956 Limekiln Pike
Dresher, PA 19025-1917

Mailing address

190 Hyde Park PL
Yardley, PA 19067-5802
Phone (215) 630-2747

Other providers in Dresher, PA

All providers in Dresher, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.