Provider Demographics
NPI:1942233382
Name:DRUDY, JEANMARIE EILEEN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JEANMARIE
Middle Name:EILEEN
Last Name:DRUDY
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 1:129 W CRESTLYN DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-5073
Mailing Address - Country:US
Mailing Address - Phone:717-840-1874
Mailing Address - Fax:717-840-0968
Practice Address - Street 1:129 W CRESTLYN DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-5073
Practice Address - Country:US
Practice Address - Phone:717-840-1874
Practice Address - Fax:717-840-0968
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001177L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000643270OtherHIGHMARK BLUESHIELD
PA615465500OtherUS DEPT OF LABOR