Individual
LISA L JELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
75 HICKLE ST, UNIONTOWN, PA 15401-4350
(724) 437-9871
Mailing address
327 S BROADWAY ST, SCOTTDALE, PA 15683-2116
(724) 887-5652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010897
PA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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