Provider Demographics
NPI:1144003484
Name:SCHMECKENBECHER, OLIVIA A (OTR)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:A
Last Name:SCHMECKENBECHER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MORIO DR
Mailing Address - Street 2:
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-9559
Mailing Address - Country:US
Mailing Address - Phone:570-665-4204
Mailing Address - Fax:
Practice Address - Street 1:23 MORIO DR
Practice Address - Street 2:
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-9559
Practice Address - Country:US
Practice Address - Phone:570-665-4204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist