Provider Demographics
NPI:1871845891
Name:GINGRICH, MEREDITH JAYNE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:JAYNE
Last Name:GINGRICH
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 1:22 LORING DRIVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721
Mailing Address - Country:US
Mailing Address - Phone:617-872-9593
Mailing Address - Fax:508-881-2848
Practice Address - Street 1:22 LORING DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-2260
Practice Address - Country:US
Practice Address - Phone:617-872-9593
Practice Address - Fax:508-881-2848
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6746225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist