Provider Demographics
NPI:1588014559
Name:STEPHANIE SANDHERR LLC
Entity Type:Organization
Organization Name:STEPHANIE SANDHERR LLC
Other - Org Name:UP PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDHERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-443-6433
Mailing Address - Street 1:417 GOLDSMITH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3768
Mailing Address - Country:US
Mailing Address - Phone:832-443-6433
Mailing Address - Fax:
Practice Address - Street 1:417 GOLDSMITH RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3768
Practice Address - Country:US
Practice Address - Phone:832-443-6433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014260225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty