Provider Demographics
NPI:1215903661
Name:BINGLER, WENDY SUSAN (OTR/L)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:SUSAN
Last Name:BINGLER
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:P.O. BOX 240, 8726 ROUTE 219
Mailing Address - Street 2:GUARDIAN REHABILITIATION SERVICES, INC.
Mailing Address - City:BROCKWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15824
Mailing Address - Country:US
Mailing Address - Phone:814-265-1164
Mailing Address - Fax:814-265-2082
Practice Address - Street 1:8726 ROUTE 219
Practice Address - Street 2:GUARDIAN REHABILITATION SERVICES, INC.
Practice Address - City:BROCKWAY
Practice Address - State:PA
Practice Address - Zip Code:15824
Practice Address - Country:US
Practice Address - Phone:814-265-1164
Practice Address - Fax:814-265-2082
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005999L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist