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Individual

MRS. JESSICA RAE ENGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(412) 915-9062
Mailing address
92 BRAXTON RD, WEIRTON, WV 26062-3902
(412) 915-9062

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1633
WV
225X00000X
Occupational Therapist
OC009146
PA
225X00000X
Occupational Therapist
OT.008516
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OC009146
OT LICENSE
PA
Enumeration date
02/14/2008
Last updated
04/20/2022
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