Provider Demographics
NPI:1306626312
Name:SCHIMPF, OLIVIA ROSANNA
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ROSANNA
Last Name:SCHIMPF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CANTERBURY LN
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1278
Mailing Address - Country:US
Mailing Address - Phone:267-416-2003
Mailing Address - Fax:
Practice Address - Street 1:160 CANTERBURY LN
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1278
Practice Address - Country:US
Practice Address - Phone:267-416-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC019531225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist