Provider Demographics
NPI:1912478660
Name:SIMMS, RONALD J (OTR/L)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:J
Last Name:SIMMS
Suffix:
Gender:M
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 1:2901 EMRICK BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8062
Mailing Address - Country:US
Mailing Address - Phone:610-625-2169
Mailing Address - Fax:
Practice Address - Street 1:250 CETRONIA RD STE 220
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9170
Practice Address - Country:US
Practice Address - Phone:610-674-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007439L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist