Individual
MRS. JENNIFER WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
350 MANOR AVE, LANGHORNE, PA 19047-2943
(215) 757-7667
(215) 750-1426
Mailing address
350 MANOR AVE, LANGHORNE, PA 19047-2943
(215) 757-7667
(215) 750-1426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010096
PA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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