Provider Demographics
NPI:1679555767
Name:RUMFORD, WILLIAM J (OTR/L)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:RUMFORD
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 1:317 CRIMSON CT
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2463
Mailing Address - Country:US
Mailing Address - Phone:267-980-1245
Mailing Address - Fax:
Practice Address - Street 1:317 CRIMSON CT
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2463
Practice Address - Country:US
Practice Address - Phone:267-980-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00059100225X00000X
PAOC007052L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ064679Medicare ID - Type UnspecifiedNJ MEDICARE B NUMBER
PA063719Medicare ID - Type UnspecifiedOT MEDICARE B