Healthcare Provider Details

I. General information

NPI: 1235054479
Provider Name (Legal Business Name): JESSICA STELZER PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 MACDADE BLVD STE A-2
MILMONT PARK PA
19033-3513
US

IV. Provider business mailing address

818 MACDADE BLVD STE A-2
MILMONT PARK PA
19033-3513
US

V. Phone/Fax

Practice location:
  • Phone: 484-321-7245
  • Fax: 484-253-0155
Mailing address:
  • Phone: 484-321-7245
  • Fax: 484-253-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTEI003315
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: