Provider Demographics
NPI:1275705642
Name:SCARANGELLA, BARBARA R
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:SCARANGELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-2253
Mailing Address - Country:US
Mailing Address - Phone:610-289-0114
Mailing Address - Fax:610-289-4282
Practice Address - Street 1:113 N 20TH ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-3803
Practice Address - Country:US
Practice Address - Phone:717-580-0302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010696225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist