Individual
MRS. JOLENE MICHELLE SKIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
1 BOYD STREET, CORNWALL, PA 17016
(717) 273-2647
Mailing address
181 RUTH AVE, WERNERSVILLE, PA 19565-9678
(610) 670-7136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001803L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814003
FIM CERTIFICATION
PA
Enumeration date
06/14/2007
Last updated
07/08/2007
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