Individual
JESSICA E MATERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
227 N CENTER ST, FRACKVILLE, PA 17931-1205
(570) 789-9643
Mailing address
227 N CENTER ST, FRACKVILLE, PA 17931-1205
(570) 789-9643
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
PA
Other
Enumeration date
06/24/2021
Last updated
06/28/2021
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