Provider Demographics
NPI:1851673545
Name:WALDRON, FRANCES ANN (MSOT-R/L)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:ANN
Last Name:WALDRON
Suffix:
Gender:F
Credentials:MSOT-R/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E STATE ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3434
Mailing Address - Country:US
Mailing Address - Phone:610-892-8767
Mailing Address - Fax:
Practice Address - Street 1:200 E STATE ST
Practice Address - Street 2:SUITE 302
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3434
Practice Address - Country:US
Practice Address - Phone:610-892-8767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012014225X00000X
DEU1-0001266225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist