Provider Demographics
NPI:1205686482
Name:ORDNUNG, ADRIANNE ELIZABETH (COTA/L)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:ELIZABETH
Last Name:ORDNUNG
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WHITETAIL PL
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-9605
Mailing Address - Country:US
Mailing Address - Phone:570-352-2704
Mailing Address - Fax:
Practice Address - Street 1:1000 MILL ST
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-3069
Practice Address - Country:US
Practice Address - Phone:762-457-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP010546225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation