Provider Demographics
NPI:1245271014
Name:OXENDINE, CINDY LOU (MPT, ATC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LOU
Last Name:OXENDINE
Suffix:
Gender:F
Credentials:MPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 CAMBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-1359
Mailing Address - Country:US
Mailing Address - Phone:717-629-2981
Mailing Address - Fax:
Practice Address - Street 1:190 N POINTE BLVD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4132
Practice Address - Country:US
Practice Address - Phone:717-392-8897
Practice Address - Fax:717-392-8898
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT010589L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0335439000OtherPERSONAL CHOICE
PA212712OtherHEALTHAMERICA/HEALTHASSUR
PA905955OtherHIGHMARK BLUE SHIELD
PA02193702OtherCAPITAL BLUE CROSS
PA02193702OtherNCAS
PA0335439000OtherINDEPENDENCE BLUE CROSS
PA00335439000OtherKEYSTONE HEALTH PLAN EAST
PA0335439000OtherPREMIER BLUE PPO
PA02193702OtherKEYSTONE HEALTH PLAN CENT
PA5754674OtherAETNA
PA0335439000OtherPREMIER BLUE PPO