Provider Demographics
NPI:1437756764
Name:ZERNHELT, KIRSTIN QUILTY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTIN
Middle Name:QUILTY
Last Name:ZERNHELT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:KIRSTIN
Other - Middle Name:MARIE
Other - Last Name:QUILTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 HOLLOW RD APT 4
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1121
Mailing Address - Country:US
Mailing Address - Phone:610-844-6563
Mailing Address - Fax:
Practice Address - Street 1:307 INTERNATIONAL CIR STE 100
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-1387
Practice Address - Country:US
Practice Address - Phone:410-667-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist