Individual
KELLY MARIE JABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
706 EISENHOWER BLVD STE 3, JOHNSTOWN, PA 15904-3527
(814) 266-6651
Mailing address
136 WILSON ST, CENTRAL CITY, PA 15926-1048
(814) 279-6538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP0030L
PA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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