Provider Demographics
NPI:1326645011
Name:DRIVER REHABILITATION SERVICES, PA
Entity Type:Organization
Organization Name:DRIVER REHABILITATION SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CROMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:336-697-7841
Mailing Address - Street 1:5417 FRIEDEN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MC LEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301-9259
Mailing Address - Country:US
Mailing Address - Phone:336-697-7841
Mailing Address - Fax:336-697-7842
Practice Address - Street 1:5417 FRIEDEN CHURCH RD
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-9259
Practice Address - Country:US
Practice Address - Phone:336-697-7841
Practice Address - Fax:336-697-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community MobilityGroup - Single Specialty