Provider Demographics
NPI:1841366390
Name:OSTROWSKI, JENNIFER B (MS OTRL)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:B
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:T
Other - Last Name:BRYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTRL
Mailing Address - Street 1:1086 ROUTE 315
Mailing Address - Street 2:PRO REHABILITATION SERVICES
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-823-7761
Mailing Address - Fax:570-822-8033
Practice Address - Street 1:1086 ROUTE 315
Practice Address - Street 2:PRO REHABILITATION SERVICES
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-823-7761
Practice Address - Fax:570-822-8033
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010142225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
821396OtherFIRST PRIORITY
821397OtherFIRST PRIORITY
1938013OtherBLUE SHIELD
821383OtherFIRST PRIORITY