Provider Demographics
NPI:1457308900
Name:HINKEL, MERSHON WARTHEN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MERSHON
Middle Name:WARTHEN
Last Name:HINKEL
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 1:932 RYE VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1308
Mailing Address - Country:US
Mailing Address - Phone:215-416-0590
Mailing Address - Fax:215-938-0609
Practice Address - Street 1:932 RYE VALLEY RD
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-1308
Practice Address - Country:US
Practice Address - Phone:215-416-0590
Practice Address - Fax:215-938-0609
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC000232L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2226161000OtherIBC HMO ID
PA2226161000OtherIBC HMO ID