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Jennifer Maisano, COTA

Occupational Therapy Assistant in Philadelphia, PA. Individual provider (NPI-1).

NPI number1861693970
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861693970
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Maisano
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOP003537LPAYes

Practice location

2509 S 4th St
Philadelphia, PA 19148-4712

Phone 215-271-1080

Mailing address

412 S Elmwood Ave
Glenolden, PA 19036-2327

Phone 610-583-2977

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