Individual
JESSICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 TUCK STREET, LEBANON, PA 17042-7446
(717) 273-8595
Mailing address
42 TERRACE AVENUE, STEVENS, PA 17578-9582
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OC010692
PA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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