Individual
JESSICA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 KIMBLE DR, GLENSHAW, PA 15116-2316
(412) 841-3950
Mailing address
607 KIMBLE DR, GLENSHAW, PA 15116-2316
(412) 841-3950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC015886
PA
225X00000X
Occupational Therapist
Primary
OT010385
OH
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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