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Individual

JESSICA WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
722 FURNACE HILLS PIKE, LITITZ, PA 17543-7954
(717) 626-2071
Mailing address
28100 TORCH PKWY STE 600, WARRENVILLE, IL 60555-4030
(630) 413-5800

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009599
PA

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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