Provider Demographics
NPI:1992982862
Name:STAHLNECKER, JANEL MARIE (OTR)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:MARIE
Last Name:STAHLNECKER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-1110
Mailing Address - Country:US
Mailing Address - Phone:570-742-2453
Mailing Address - Fax:570-742-2468
Practice Address - Street 1:1 S FRONT ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-1110
Practice Address - Country:US
Practice Address - Phone:570-742-2453
Practice Address - Fax:570-742-2468
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004398L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist