Provider Demographics
NPI:1639359185
Name:CENTER FOR OCCUPATIONAL THERAPY, PC
Entity Type:Organization
Organization Name:CENTER FOR OCCUPATIONAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARION
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:570-326-6678
Mailing Address - Street 1:200 PINE ST STE 600
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-6541
Mailing Address - Country:US
Mailing Address - Phone:570-326-6678
Mailing Address - Fax:570-326-7090
Practice Address - Street 1:200 PINE ST STE 600
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-6541
Practice Address - Country:US
Practice Address - Phone:570-326-6678
Practice Address - Fax:570-326-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA533493RABOtherMEDICARE GROUP NUMBER
PA533493RABOtherMEDICARE GROUP NUMBER