Individual
JILLIAN SCAVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT R/L
Contact information
Practice address
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
(215) 934-3064
Mailing address
9896 BUSTLETON AVE, PHILADELPHIA, PA 19115-5202
(215) 934-3064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011781
PA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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