Provider Demographics
NPI:1598769085
Name:OSTRANDER, DENNIS C (MS, PT)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:C
Last Name:OSTRANDER
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 392573
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-1661
Mailing Address - Country:US
Mailing Address - Phone:864-834-9701
Mailing Address - Fax:864-676-1468
Practice Address - Street 1:821 LIBERTY ST E STE D
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-2239
Practice Address - Country:US
Practice Address - Phone:803-818-5578
Practice Address - Fax:803-818-5887
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020670225100000X
NC13551225100000X
SC6597225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02250544Medicaid
NY02250544Medicaid