Provider Demographics
NPI:1831214618
Name:SCHIFANO, ROBERT ANTHONY (OTRL)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:SCHIFANO
Suffix:
Gender:M
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 BROOKFARM DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17004
Mailing Address - Country:US
Mailing Address - Phone:717-667-3444
Mailing Address - Fax:717-667-2224
Practice Address - Street 1:4702 EAST MAIN ST
Practice Address - Street 2:VALLEY VIEW HAVEN
Practice Address - City:BELLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:17004
Practice Address - Country:US
Practice Address - Phone:717-935-2105
Practice Address - Fax:717-935-5109
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001491L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist