Jennifer Kappes

Individual provider Active NPI Occupational Therapy Assistant · Kutztown, PA

NPI 1629487582 · NPPES record last updated Aug 5, 2014

Key facts

NPI
1629487582
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP006324 (PA)
Practice address
120 Trexler Ave
Kutztown, PA 19530-9707
Phone
(610) 683-6220
NPI assigned
Aug 5, 2014
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
OP006324PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP006324 PA Yes

Addresses

Primary practice location

120 Trexler Ave
Kutztown, PA 19530-9707

Mailing address

6075 Timberknoll Dr
Macungie, PA 18062-8883

Other providers in Kutztown, PA

All providers in Kutztown, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.