Provider Demographics
NPI:1710230214
Name:PATRICIA A. GAY DBA RELIANCE THERAPY
Entity Type:Organization
Organization Name:PATRICIA A. GAY DBA RELIANCE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:717-343-3075
Mailing Address - Street 1:20 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-1851
Mailing Address - Country:US
Mailing Address - Phone:717-343-3075
Mailing Address - Fax:717-260-3038
Practice Address - Street 1:20 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:PA
Practice Address - Zip Code:17057-1851
Practice Address - Country:US
Practice Address - Phone:717-343-3075
Practice Address - Fax:717-260-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001625L225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty