Individual
JESSICA EVERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4148 MILLER ST, WILLIAMSON, NY 14589-9713
(315) 589-9661
Mailing address
4307 RIDGE RD, WILLIAMSON, NY 14589-9374
(315) 879-4149
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
028370
NY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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