Provider Demographics
NPI:1437270147
Name:KERSCHNER, JEANNE M (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:M
Last Name:KERSCHNER
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:JEANNE
Other - Middle Name:M
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:292 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-8610
Mailing Address - Country:US
Mailing Address - Phone:570-321-9903
Mailing Address - Fax:
Practice Address - Street 1:292 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-8610
Practice Address - Country:US
Practice Address - Phone:570-321-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005730L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist