Provider Demographics
NPI:1740417591
Name:WORLEY, ANTONELLA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANTONELLA
Middle Name:
Last Name:WORLEY
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 1:130 TIMBERLAKE LN
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-1337
Mailing Address - Country:US
Mailing Address - Phone:610-413-7414
Mailing Address - Fax:
Practice Address - Street 1:130 TIMBERLAKE LN
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-1337
Practice Address - Country:US
Practice Address - Phone:610-413-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008345225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist