Individual
JESHAL MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 EASTON RD, WILLOW GROVE, PA 19090-1901
(215) 830-5400
Mailing address
5-15 ASPEN WAY, DOYLESTOWN, PA 18901-2780
(267) 615-1526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015611
PA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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