Jessica Martin
Occupational Therapist, Gerontology in Lebanon, PA. Individual provider (NPI-1).
NPI number1497906002
StatusActive
Last updated in NPPESOct 2, 2008
Details
- NPI
- 1497906002
- Entity type
- Individual (NPI-1)
- Name
- Jessica Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2008
- Last updated
- Oct 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XG0600X | Occupational Therapist, Gerontology | Oc010692 | PA | Yes |
Practice location
900 Tuck StreetLebanon, PA 17042-7446
Phone 717-273-8595
Mailing address
42 Terrace AvenueStevens, PA 17578-9582
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