Individual
JILLIAN A RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 LINDFIELD CIR, MACUNGIE, PA 18062-1184
(570) 236-0140
Mailing address
109 LINDFIELD CIR, MACUNGIE, PA 18062-1184
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC019605
PA
Other
Enumeration date
07/24/2025
Last updated
07/31/2025
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