Organization
JACKSON THERAPY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTA M RIVES COTA/L,CKTP (COTA/L,CKTP)
(716) 490-2881
Entity
Organization
Contact information
Practice address
1212 SUMMER LN, POTTSTOWN, PA 19465-8080
(716) 490-2881
Mailing address
1212 SUMMER LN, POTTSTOWN, PA 19465-8080
(716) 490-2881
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OP007639
PA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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