Provider Demographics
NPI:1497832794
Name:STANLEY, LINDA (OTR/L,CHT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:STANLEY
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 E BUTLER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5211
Mailing Address - Country:US
Mailing Address - Phone:215-348-9549
Mailing Address - Fax:215-348-3273
Practice Address - Street 1:65 E BUTLER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5211
Practice Address - Country:US
Practice Address - Phone:215-348-9549
Practice Address - Fax:215-348-3273
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC 001267L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0362361000OtherKEYSTONE HEALTH PLAN EAST
PA2011951000OtherPERSONAL CHOICE
PA2553859OtherAETNA
PA001306434OtherBLUE SHIELD
PANO6434OtherAMERIHEALTH
PA2553859OtherAETNA