Provider Demographics
NPI:1346857117
Name:HAUSER, JACQUELYN HOPE (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:HOPE
Last Name:HAUSER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9588
Mailing Address - Country:US
Mailing Address - Phone:724-261-9136
Mailing Address - Fax:
Practice Address - Street 1:1492 ROUTE 130
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-9588
Practice Address - Country:US
Practice Address - Phone:724-261-9136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017005225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics