Individual
JENNA MARIE MATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
126 DALE RD, WILLOW GROVE, PA 19090-3715
(215) 292-2007
Mailing address
126 DALE RD, WILLOW GROVE, PA 19090-3715
(215) 292-2007
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC019744
PA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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