Individual
JESSE AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4855 W RIDGE RD, ERIE, PA 16506-1213
(814) 836-5335
Mailing address
630 YOUNG RD, ERIE, PA 16509-3153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007165
PA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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