Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | OC009023 | PA |
N | 225X00000X | Occupational Therapist | OC009023 | PA |
N | 2251E1200X | Ergonomics | OC009023 | PA |
N | 225XE1200X | Ergonomics | OC009023 | PA |
N | 225XH1200X | Occupational Therapist - Hand | OC009023 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC009023 | PA |
NPI | 1619952256 |
---|---|
Provider Name | Jennifer Stone |
First Address | Lansford, PA 18232-2204 |
Second Address | Lansford, PA 18232-2204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 17/03/2008 |