Provider Demographics
NPI:1154183440
Name:COMINS, ABIGAIL PAIGE (OTRL)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:PAIGE
Last Name:COMINS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:P
Other - Last Name:COMINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:2158 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3222
Mailing Address - Country:US
Mailing Address - Phone:215-713-4038
Mailing Address - Fax:
Practice Address - Street 1:3075 RIDGE PIKE
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1534
Practice Address - Country:US
Practice Address - Phone:610-265-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019742225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist