Individual
MRS. JENNIFER ANNE BISTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
1454 SCALP AVE, JOHNSTOWN, PA 15904-3321
(814) 266-6651
(814) 269-3385
Mailing address
122 BEGGS ST, CONFLUENCE, PA 15424-2300
(814) 395-5345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009225
PA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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