Provider Demographics
NPI:1821203159
Name:OCCUPATIONAL THERAPY PROGRAMS
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY PROGRAMS
Other - Org Name:COLLAGE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR COLLAGE PRESIDENT OCCUPATI
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDM OTRL
Authorized Official - Phone:610-356-7355
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-0419
Mailing Address - Country:US
Mailing Address - Phone:610-356-7355
Mailing Address - Fax:610-355-7649
Practice Address - Street 1:100 MEDIA LINE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4602
Practice Address - Country:US
Practice Address - Phone:610-356-7355
Practice Address - Fax:610-355-7649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019718750005OtherPA DEPARTMENT OF MEDICAL