Provider Demographics
NPI:1841997533
Name:MEIDINGER, SUZANNE CLAUDETTE
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CLAUDETTE
Last Name:MEIDINGER
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 1:3622 NEW HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-8636
Mailing Address - Country:US
Mailing Address - Phone:610-427-3551
Mailing Address - Fax:
Practice Address - Street 1:1057 VAN REED RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9319
Practice Address - Country:US
Practice Address - Phone:610-750-9131
Practice Address - Fax:610-743-8494
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATOP009391224Z00000X
PAOP010364224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant