Individual
JOHN STIFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1265 WAYNE AVE, SUITE 312, INDIANA, PA 15701-3501
(724) 349-6214
Mailing address
510 ELMWOOD RD, EBENSBURG, PA 15931-4376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008953
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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