Provider Demographics
NPI:1013984640
Name:GINDELSPERGER, JAMI (OT)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:
Last Name:GINDELSPERGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7477 MASON DIXON HWY
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-7206
Mailing Address - Country:US
Mailing Address - Phone:814-634-5374
Mailing Address - Fax:
Practice Address - Street 1:300 BEACHLEY ST
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1222
Practice Address - Country:US
Practice Address - Phone:814-634-5373
Practice Address - Fax:814-634-5380
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007118L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist