Provider Demographics
NPI:1366423386
Name:GIRONDI, LORETTA (MS OTR L)
Entity type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:
Last Name:GIRONDI
Suffix:
Gender:F
Credentials:MS OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 N WAYNE AVE
Mailing Address - Street 2:UNIT 106
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3248
Mailing Address - Country:US
Mailing Address - Phone:610-688-5762
Mailing Address - Fax:
Practice Address - Street 1:1600 N WASHINGTON ST
Practice Address - Street 2:DE CURATIVE WORKSHOP
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-4722
Practice Address - Country:US
Practice Address - Phone:302-428-5927
Practice Address - Fax:302-656-0292
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist