Healthcare Provider Details

I. General information

NPI: 1831214618
Provider Name (Legal Business Name): ROBERT ANTHONY SCHIFANO OTRL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4702 EAST MAIN ST VALLEY VIEW HAVEN
BELLEVILLE PA
17004
US

IV. Provider business mailing address

60 BROOKFARM DR
BELLEVILLE PA
17004
US

V. Phone/Fax

Practice location:
  • Phone: 717-935-2105
  • Fax: 717-935-5109
Mailing address:
  • Phone: 717-667-3444
  • Fax: 717-667-2224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC001491L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: