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Individual

JACKIE SANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA., LPN

Contact information

Practice address
4942 ROUTE 309 LOT 375, CENTER VALLEY, PA 18034-9497
(610) 653-1241
Mailing address
4942 ROUTE 309 LOT 375, CENTER VALLEY, PA 18034-9497
(610) 653-1241

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007485
PA

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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