Individual
JESSICA ELISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
731 S 16TH ST APT 2F, PHILADELPHIA, PA 19146-2126
(513) 604-9113
Mailing address
731 S 16TH ST APT 2F, PHILADELPHIA, PA 19146-2126
(513) 604-9113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013553
PA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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