Individual
JESSICA ANNE GULDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
(570) 765-8455
Mailing address
690 W VALLEY AVE, ELYSBURG, PA 17824-7251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008403
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP008403
LICENSING BOARD
PA
Enumeration date
03/27/2020
Last updated
03/27/2020
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