Individual
JILL BRANDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SKILES BLVD, WEST CHESTER, PA 19382-7321
(800) 578-7906
Mailing address
3509 CONRAD ST UNIT A, PHILADELPHIA, PA 19129-1631
(614) 917-3309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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