Individual
CORY JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
336 S WEST END AVE, LANCASTER, PA 17603-5043
(717) 393-0419
Mailing address
318 ICE AVE, LANCASTER, PA 17602-1931
(570) 951-7727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008773
PA
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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