Provider Demographics
NPI:1124633136
Name:CINDY DUCKWORTH, OT INC
Entity type:Organization
Organization Name:CINDY DUCKWORTH, OT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DUCKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:484-432-1614
Mailing Address - Street 1:212 CHINA CIR
Mailing Address - Street 2:
Mailing Address - City:WEST GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19390-8813
Mailing Address - Country:US
Mailing Address - Phone:484-432-1614
Mailing Address - Fax:
Practice Address - Street 1:212 CHINA CIR
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-8813
Practice Address - Country:US
Practice Address - Phone:484-432-1614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty