Individual
JANNAH JOELE SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
(814) 445-4549
Mailing address
319 SHIPLEY TOWN RD, BERLIN, PA 15530-7920
(814) 701-9232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007280
PA
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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