Healthcare Provider Details

I. General information

NPI: 1871458596
Provider Name (Legal Business Name): BRIDGET PAULINE KANE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 TECHNOLOGY PKWY FL 5
MECHANICSBURG PA
17050-8522
US

IV. Provider business mailing address

3033 CHESTNUT ST
CAMP HILL PA
17011-4527
US

V. Phone/Fax

Practice location:
  • Phone: 223-316-3300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021170
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: