Individual
MS. JESSICA JANET GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1756 CHESTNUT ST, NEW RINGGOLD, PA 17960-9561
(570) 366-1941
Mailing address
1756 CHESTNUT ST, NEW RINGGOLD, PA 17960-9561
(570) 366-1941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP000854L
PA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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