Healthcare Provider Details

I. General information

NPI: 1699197061
Provider Name (Legal Business Name): STEPHANIE WARRENFELTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2014
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 BUCHANAN TRL E
GREENCASTLE PA
17225-9511
US

IV. Provider business mailing address

13 WESTERN MARYLAND PKWY STE 202
HAGERSTOWN MD
21740-6474
US

V. Phone/Fax

Practice location:
  • Phone: 717-643-0574
  • Fax: 717-643-0582
Mailing address:
  • Phone: 301-797-9240
  • Fax: 301-797-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT022278
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: