Provider Demographics
NPI:1770919342
Name:HAAR, STEFANIE R (OT)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:R
Last Name:HAAR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 BUSTLETON AVE
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-1188
Mailing Address - Country:US
Mailing Address - Phone:215-613-6523
Mailing Address - Fax:215-613-6527
Practice Address - Street 1:527 WRIGHTSTOWN SYKESVILLE RD
Practice Address - Street 2:BUILDING C, UNIT 15
Practice Address - City:WRIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08562-1530
Practice Address - Country:US
Practice Address - Phone:609-316-0195
Practice Address - Fax:609-353-1549
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00626100225X00000X
PAOC012976225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist