Individual
JENNIFER ROADCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
409 S 2ND ST, SUITE 3F, HARRISBURG, PA 17104-1612
(717) 230-3459
(717) 230-3411
Mailing address
2645 N 3RD ST, HARRISBURG, PA 17110-2001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003996L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC003996L
LICENSE
PA
Enumeration date
07/01/2006
Last updated
07/08/2007
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