| Stefanie Ruth Flynn, | |
|
900 Willow Valley Lakes Drive, Willow Street, PA 17584 | |
| (717) 464-6861 | |
| Not Available |
| Full Name | Stefanie Ruth Flynn |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 900 Willow Valley Lakes Drive, Willow Street, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063629004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC010323 (Pennsylvania) | Primary |
| Provider Name | Functional Freedom Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861989493 PECOS PAC ID: 6406104728 Enrollment ID: O20180802002594 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Ruth Flynn, 1107 Country Hill Drive, Harrisburg, PA 17111 Ph: () - | Stefanie Ruth Flynn, 900 Willow Valley Lakes Drive, Willow Street, PA 17584 Ph: (717) 464-6861 |
Heather L Wolfe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6861 Fax: 717-464-8444 | |
Mrs. Susan Gregory Smith, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6824 | |
Paige M Pachuilo, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6861 Fax: 717-464-8444 | |
Deborah Edler Brennan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6861 | |
Taylor Grenier, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Heatherfield Dr, Willow Street, PA 17584 Phone: 717-989-2049 | |
Michele Johnson Sipel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6861 |