Healthcare Provider Details

I. General information

NPI: 1205049830
Provider Name (Legal Business Name): KATHRYN JEAN SHATZER OTR,L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BIG SPRING RD
NEWVILLE PA
17241-9497
US

IV. Provider business mailing address

910 ALEXANDER SPRING RD
CARLISLE PA
17013-9183
US

V. Phone/Fax

Practice location:
  • Phone: 717-776-8200
  • Fax:
Mailing address:
  • Phone: 717-386-9396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC002975L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: