Provider Demographics
NPI:1508237751
Name:BELL, ABIGAIL FITZ (OTR/L)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FITZ
Last Name:BELL
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 1:129 STIRRUP CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6103
Mailing Address - Country:US
Mailing Address - Phone:484-459-4506
Mailing Address - Fax:
Practice Address - Street 1:129 STIRRUP CIR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6103
Practice Address - Country:US
Practice Address - Phone:484-459-4506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006410225X00000X
CA14778225X00000X
PAOC012200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2955155Medicaid