Provider Demographics
NPI:1740672054
Name:ORRISON PILGRIM, KEDRYN (DAT, ATC)
Entity type:Individual
Prefix:
First Name:KEDRYN
Middle Name:
Last Name:ORRISON PILGRIM
Suffix:
Gender:F
Credentials:DAT, ATC
Other - Prefix:
Other - First Name:KEDRYN
Other - Middle Name:
Other - Last Name:ORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:701 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-2407
Mailing Address - Country:US
Mailing Address - Phone:610-944-2430
Mailing Address - Fax:
Practice Address - Street 1:701 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-2407
Practice Address - Country:US
Practice Address - Phone:610-944-2430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program