Provider Demographics
NPI:1629895560
Name:BEALER, AUBREY
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:
Last Name:BEALER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3233 HORSESHOE RD
Mailing Address - Street 2:
Mailing Address - City:DANIELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18038-9783
Mailing Address - Country:US
Mailing Address - Phone:484-862-5913
Mailing Address - Fax:
Practice Address - Street 1:575 S 9TH ST STE 2
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-2517
Practice Address - Country:US
Practice Address - Phone:570-645-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020290225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist