Provider Demographics
NPI:1053538058
Name:OBERHOLZER, JOSEPH DANIEL (MSPT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DANIEL
Last Name:OBERHOLZER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 OAK RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-9302
Mailing Address - Country:US
Mailing Address - Phone:717-741-1087
Mailing Address - Fax:
Practice Address - Street 1:3214 E MARKET ST
Practice Address - Street 2:SUITE 5
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2514
Practice Address - Country:US
Practice Address - Phone:888-597-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013330L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic