Healthcare Provider Details

I. General information

NPI: 1215519590
Provider Name (Legal Business Name): ABBIGAIL R WESTGATE OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 POWDER MILL RD
YORK PA
17402-4723
US

IV. Provider business mailing address

1861 POWDER MILL ROAD ATTN MEDICAL STAFF OFFICE
YORK PA
17402-4723
US

V. Phone/Fax

Practice location:
  • Phone: 717-747-8302
  • Fax: 717-741-4759
Mailing address:
  • Phone: 717-718-2041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number09250
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOC017169
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC017169
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: