Provider Demographics
NPI:1407277734
Name:VARNER, NATHAN (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:VARNER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 CAMP DR
Mailing Address - Street 2:
Mailing Address - City:HOOVERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15936-7111
Mailing Address - Country:US
Mailing Address - Phone:814-248-1190
Mailing Address - Fax:
Practice Address - Street 1:707 SHEPHERDSTOWN RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4276
Practice Address - Country:US
Practice Address - Phone:717-458-8931
Practice Address - Fax:717-458-8935
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC013065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist