Provider Demographics
NPI:1285696252
Name:WERNER, WILLIAM A (PT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:WERNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 TIMBER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3994
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5400 CHAMBERS HILL RD
Practice Address - Street 2:SUITE C
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2505
Practice Address - Country:US
Practice Address - Phone:717-558-4333
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0166322251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT016632OtherPHYSICAL THERAPY