Provider Demographics
NPI:1851560015
Name:PUSATERI, STEPHANIE LYNN (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LYNN
Last Name:PUSATERI
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:PO BOX 213
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FOUNTAINVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18923-0213
Mailing Address - Country:US
Mailing Address - Phone:215-348-9549
Mailing Address - Fax:215-348-3273
Practice Address - Street 1:5049 SWAMP RD
Practice Address - Street 2:SUITE 302
Practice Address - City:FOUNTAINVILLE
Practice Address - State:PA
Practice Address - Zip Code:18923-9659
Practice Address - Country:US
Practice Address - Phone:215-348-9549
Practice Address - Fax:215-348-3273
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-005394-L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand