Provider Demographics
NPI:1780033688
Name:SPANGLER, GABRIELLE (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4691 EAGLE SCOUT RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17364-9684
Mailing Address - Country:US
Mailing Address - Phone:610-505-4364
Mailing Address - Fax:
Practice Address - Street 1:461 CANN RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-1715
Practice Address - Country:US
Practice Address - Phone:610-692-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-10
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014449225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist