Individual
JESSICA LYNN ENSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4000 FOXHOUND DR, LAFAYETTE HILL, PA 19444-1014
(215) 402-8500
Mailing address
21 BRIGHTON CT, DOWNINGTOWN, PA 19335-2267
(484) 364-0436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009674
PA
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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