Provider Demographics
NPI:1326262213
Name:MORSELLI, KIMMEL ANNE (OTR)
Entity Type:Individual
Prefix:
First Name:KIMMEL
Middle Name:ANNE
Last Name:MORSELLI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KIMMEL
Other - Middle Name:ANNE
Other - Last Name:NACEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:252 READING AVENUE
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-493-4698
Mailing Address - Fax:
Practice Address - Street 1:252 READING AVENUE
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-493-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0C010232225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist