Provider Demographics
NPI:1457677486
Name:SCHREDER, BETH GEIDEL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:GEIDEL
Last Name:SCHREDER
Suffix:
Gender:F
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 1:417 W FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2804
Mailing Address - Country:US
Mailing Address - Phone:717-381-4346
Mailing Address - Fax:717-381-4350
Practice Address - Street 1:417 W FREDERICK ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2804
Practice Address - Country:US
Practice Address - Phone:717-381-4346
Practice Address - Fax:717-381-4350
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001323L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist