Individual
MRS. JOLENA MARIE STULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2250 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2549
(724) 981-3200
Mailing address
321 N NESHANNOCK RD, HERMITAGE, PA 16148-9340
(724) 979-2592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010219
PA
224Z00000X
Occupational Therapy Assistant
OTA008225
OH
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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