Jennifer Parry

Individual provider Active NPI Occupational Therapy Assistant · New Bloomfield, PA

NPI 1356680904 · NPPES record last updated Feb 4, 2013

Key facts

NPI
1356680904
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP002598L (PA)
Practice address
213 East Main Street
New Bloomfield, PA 17068
Phone
(717) 582-4346
Fax
(717) 582-8447
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
Yes

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
OP002598LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP002598L PA Yes

Addresses

Primary practice location

213 East Main Street
New Bloomfield, PA 17068

Mailing address

213 E Main St
New Bloomfield, PA 17068-9657
Phone (717) 582-4346

Other providers in New Bloomfield, PA

All providers in New Bloomfield, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.