Provider Demographics
NPI:1134478001
Name:GEIGER, JONNIE M (COTA)
Entity Type:Individual
Prefix:MRS
First Name:JONNIE
Middle Name:M
Last Name:GEIGER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 WHEELER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHINGLEHOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:16748-3906
Mailing Address - Country:US
Mailing Address - Phone:814-598-2997
Mailing Address - Fax:
Practice Address - Street 1:84 WHEELER HILL RD
Practice Address - Street 2:
Practice Address - City:SHINGLEHOUSE
Practice Address - State:PA
Practice Address - Zip Code:16748-3906
Practice Address - Country:US
Practice Address - Phone:814-598-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008160224Z00000X
PAOP007409224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant