Provider Demographics
NPI:1750972279
Name:NORTH, BILLIE LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:LYNN
Last Name:NORTH
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 1:2624 HOLTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:AIRVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17302-9100
Mailing Address - Country:US
Mailing Address - Phone:717-887-0241
Mailing Address - Fax:
Practice Address - Street 1:2624 HOLTWOOD RD
Practice Address - Street 2:
Practice Address - City:AIRVILLE
Practice Address - State:PA
Practice Address - Zip Code:17302-9100
Practice Address - Country:US
Practice Address - Phone:717-887-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002209L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist