Provider Demographics
NPI:1417395807
Name:BEHLING, AUGUST IV (COTA/L)
Entity Type:Individual
Prefix:MR
First Name:AUGUST
Middle Name:
Last Name:BEHLING
Suffix:IV
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 EAST BALTIMORE PIKE
Mailing Address - Street 2:GRANITE FARMS ESTATES,
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5531
Mailing Address - Country:US
Mailing Address - Phone:610-358-3440
Mailing Address - Fax:610-558-2871
Practice Address - Street 1:1343 W BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5519
Practice Address - Country:US
Practice Address - Phone:610-358-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPO007602224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant