Individual
JOLENE NICOLE PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 MAIN ST, BROCKWAY, PA 15824-1038
(814) 265-8265
Mailing address
816 BIRCH RD, SAINT MARYS, PA 15857-2104
(814) 594-7794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015739
PA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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