Provider Demographics
NPI:1467040360
Name:STEKERVETZ, OLIVIA ANN (MSOT, OTR)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ANN
Last Name:STEKERVETZ
Suffix:
Gender:F
Credentials:MSOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 SUMMITVILLE CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9012
Mailing Address - Country:US
Mailing Address - Phone:717-940-5988
Mailing Address - Fax:
Practice Address - Street 1:1501 E CUMBERLAND ST STE 200
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-8304
Practice Address - Country:US
Practice Address - Phone:717-272-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATOC103666225X00000X
PAOC017460225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist