Provider Demographics
NPI:1245929322
Name:STEEBER, ALEXIS (OTD, OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:STEEBER
Suffix:
Gender:F
Credentials:OTD, OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 GATEWAY SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:EDWARDSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18704-4403
Mailing Address - Country:US
Mailing Address - Phone:570-938-4634
Mailing Address - Fax:570-763-7374
Practice Address - Street 1:115 GATEWAY SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:EDWARDSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-4403
Practice Address - Country:US
Practice Address - Phone:570-938-4634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018604225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist