Individual
JILL JANI YOUSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-0800
Mailing address
50 N MALIN RD, BROOMALL, PA 19008-1429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001583L
PA
224Z00000X
Occupational Therapy Assistant
OPOO1583L
PA
Other
Enumeration date
05/13/2017
Last updated
05/13/2017
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