Provider Demographics
NPI:1982856100
Name:STIER, JENNETTE ANN
Entity Type:Individual
Prefix:MRS
First Name:JENNETTE
Middle Name:ANN
Last Name:STIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 CRESCENT CT W
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3446
Mailing Address - Country:US
Mailing Address - Phone:610-820-7667
Mailing Address - Fax:610-820-7671
Practice Address - Street 1:3721 CRESCENT CT W
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3446
Practice Address - Country:US
Practice Address - Phone:610-820-7667
Practice Address - Fax:610-820-7671
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005733L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist