Provider Demographics
NPI:1932224698
Name:PADAKI, SHEELA S (OTA)
Entity Type:Individual
Prefix:
First Name:SHEELA
Middle Name:S
Last Name:PADAKI
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1457 PROMISE LN
Mailing Address - Street 2:WESCOSVILLE
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9349
Mailing Address - Country:US
Mailing Address - Phone:610-395-6921
Mailing Address - Fax:
Practice Address - Street 1:QUAKERTOWN CENTER
Practice Address - Street 2:1020 S MAIN ST
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951
Practice Address - Country:US
Practice Address - Phone:215-536-9300
Practice Address - Fax:215-536-1970
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP002134L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant