Provider Demographics
NPI:1023609971
Name:HARVARD, ORLANDO DANIEL
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:DANIEL
Last Name:HARVARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W WELLINGTON ALY
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-6201
Mailing Address - Country:US
Mailing Address - Phone:724-995-8815
Mailing Address - Fax:724-441-4010
Practice Address - Street 1:117 W WELLINGTON ALY
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-6201
Practice Address - Country:US
Practice Address - Phone:724-995-8815
Practice Address - Fax:724-441-4010
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist