Provider Demographics
NPI:1174645709
Name:SINDELAR, BETTY J (PT PHD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:J
Last Name:SINDELAR
Suffix:
Gender:F
Credentials:PT PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W 290 GROVER CENTER
Mailing Address - Street 2:OHIO UNIVERSITY THERAPY ASSOCIATES
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2979
Mailing Address - Country:US
Mailing Address - Phone:740-593-0820
Mailing Address - Fax:
Practice Address - Street 1:75 HOSPITAL DRIVE
Practice Address - Street 2:CASTROP CENTER SUITE 160
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701
Practice Address - Country:US
Practice Address - Phone:740-592-9326
Practice Address - Fax:740-592-9274
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000163115OtherANTHEM
OH062447Medicaid
000000163115OtherANTHEM