Provider Demographics
NPI:1750799987
Name:ADAMO, EILEEN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:ADAMO
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 1:66 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:PA
Mailing Address - Zip Code:16692-8923
Mailing Address - Country:US
Mailing Address - Phone:814-659-6391
Mailing Address - Fax:
Practice Address - Street 1:66 CHERRY LN
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:PA
Practice Address - Zip Code:16692-8923
Practice Address - Country:US
Practice Address - Phone:814-659-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009355225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist