Provider Demographics
NPI:1174825582
Name:MEIXSELL, AMANDA CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:CHRISTINE
Last Name:MEIXSELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:CHRISTINE
Other - Last Name:WHETSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2760 PINE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LEADER HEIGHTS / YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-741-1250
Mailing Address - Fax:717-741-1251
Practice Address - Street 1:2760 PINE GROVE RD
Practice Address - Street 2:
Practice Address - City:LEADER HEIGHTS / YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-741-1250
Practice Address - Fax:717-741-1251
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011542225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist