Jessica Adams, OTR

Individual provider Active NPI Occupational Therapist · Pitman, PA

NPI 1174724645 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174724645
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC008490 (PA)
Practice address
200 Taylorsville Mountain Rd
Pitman, PA 17964-9104
Phone
(570) 644-0489
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OC008490PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC008490 PA Yes

Addresses

Primary practice location

200 Taylorsville Mountain Rd
Pitman, PA 17964-9104

Mailing address

1056 Center St
Coal Township, PA 17866-1013

Other providers in Pitman, PA

All providers in Pitman, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.