Mr Ethan Solomon Freeman, OTR/L | |
470 Eisenhower Dr, Hanover, PA 17331-5248 | |
(717) 633-0031 | |
(717) 630-1085 |
Full Name | Mr Ethan Solomon Freeman |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 8 Years |
Location | 470 Eisenhower Dr, Hanover, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053831495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 119112 (Iowa) | Secondary |
225X00000X | Occupational Therapist | OC014936 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehabilitation Services Inc | 0143133009 | 923 |
Provider Name | Fox Rehabilitation Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258 |
Mailing Address | Practice Location Address |
---|---|
Mr Ethan Solomon Freeman, OTR/L 1861 Powder Mill Rd, Attn Medical Staff Office, York, PA 17402-4723 Ph: (717) 718-2041 | Mr Ethan Solomon Freeman, OTR/L 470 Eisenhower Dr, Hanover, PA 17331-5248 Ph: (717) 633-0031 |
Ginger Annette Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Frederick St, Hanover, PA 17331 Phone: 717-637-8937 Fax: 717-637-4889 | |
Kristin Coulson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 788 Cherry Tree Ct, Hanover, PA 17331 Phone: 717-632-5552 Fax: 717-632-2315 | |
Virginia Robertson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Sydney Dr, Hanover, PA 17331 Phone: 717-633-6091 | |
Mallory Ann Hoak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Westminster Ave, Hanover, PA 17331 Phone: 717-637-4166 | |
Erin Frances Bielski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Westminster Ave, Hanover, PA 17331 Phone: 717-637-4166 | |
Danielle Black, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 785 Cherry Tree Ct, Hanover, PA 17331 Phone: 717-316-7030 |