Basic Information
Provider Information
NPI: 1598304164
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BINDER
FirstName: REMY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 SUMMIT AVE APT B216
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191282344
CountryCode: US
TelephoneNumber: 3029431268
FaxNumber:  
Practice Location
Address1: 200 SKILES BLVD
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193827321
CountryCode: US
TelephoneNumber: 6104554040
FaxNumber: 8552518777
Other Information
ProviderEnumerationDate: 12/31/2019
LastUpdateDate: 12/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/31/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC016807PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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