Individual
MRS. JENNIFER L HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(540) 740-5391
Mailing address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(540) 740-5391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008114
PA
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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