Provider Demographics
NPI:1619017365
Name:REIDLER, CYNTHIA RHOADES
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:RHOADES
Last Name:REIDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2133
Mailing Address - Country:US
Mailing Address - Phone:610-376-1902
Mailing Address - Fax:610-376-5296
Practice Address - Street 1:1435 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2133
Practice Address - Country:US
Practice Address - Phone:610-376-1902
Practice Address - Fax:610-376-5296
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002609L225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1124057310OtherGROUP NPI NUMBER
PA02705700OtherCAPITAL BLUE CROSS
PA1124057310OtherGROUP NPI NUMBER