Provider Demographics
NPI:1467675439
Name:OCCUPATIONAL THERAPY AND REHABILITATION SERVICES OF PENNSYLVANIA P C
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY AND REHABILITATION SERVICES OF PENNSYLVANIA P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:BOGART
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:610-642-4029
Mailing Address - Street 1:1445 CITY LINE AVE.
Mailing Address - Street 2:SUITE 1 & 2
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096
Mailing Address - Country:US
Mailing Address - Phone:610-642-4029
Mailing Address - Fax:610-642-7318
Practice Address - Street 1:1445 CITY LINE AVE.
Practice Address - Street 2:SUITE 1 & 2
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096
Practice Address - Country:US
Practice Address - Phone:610-642-4029
Practice Address - Fax:610-642-7318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty