Individual
JENNIFER KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 MAPLE AVE, HARLEYSVILLE, PA 19438-1032
(215) 256-9501
(215) 256-1560
Mailing address
800 MAPLE AVE, HARLEYSVILLE, PA 19438-1032
(215) 256-1560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0C003200L
PA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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