Provider Demographics
NPI:1346531290
Name:PINCIN, COURTNEY L (BSOT)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:L
Last Name:PINCIN
Suffix:
Gender:F
Credentials:BSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 KERRSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9409
Mailing Address - Country:US
Mailing Address - Phone:717-776-1299
Mailing Address - Fax:717-920-8109
Practice Address - Street 1:417 VILLAGE DR STE 4
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-6945
Practice Address - Country:US
Practice Address - Phone:717-245-0610
Practice Address - Fax:717-245-0899
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008946225XH1200X, 225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation