Provider Demographics
NPI:1558565846
Name:CAMERON, JOANNA BORRELLI (OTR)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:BORRELLI
Last Name:CAMERON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6205 WHITEHILL DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2343
Mailing Address - Country:US
Mailing Address - Phone:717-766-8367
Mailing Address - Fax:
Practice Address - Street 1:6205 WHITEHILL DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2343
Practice Address - Country:US
Practice Address - Phone:717-766-8367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010314225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics