Individual
MRS. JUDI LYNN JESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3201 RIVER RD, LEWISBURG, PA 17837-9255
(570) 524-2271
Mailing address
121 W 8TH AVE, SHAMOKIN DAM, PA 17876-9205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005945
PA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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