| 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 Therapist |
| Location | 470 Eisenhower Dr, Hanover, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053831495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 119112 (Iowa) | Secondary |
| 225X00000X | Occupational Therapist | OC014936 (Pennsylvania) | Primary |
| 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 |
| Provider Name | The Mennonite Home |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093053910 PECOS PAC ID: 9830264696 Enrollment ID: O20130425000261 |
| 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 |