Provider Demographics
NPI:1568165728
Name:STERANKO, JENNIFER HRBAC (PTA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HRBAC
Last Name:STERANKO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HEATHERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-5500
Mailing Address - Country:US
Mailing Address - Phone:717-413-7406
Mailing Address - Fax:
Practice Address - Street 1:100 ABBEYVILLE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4604
Practice Address - Country:US
Practice Address - Phone:717-397-4261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI002664225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant