Danielle N. Jack

NPI 1174840300 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1174840300
Gender Female
Enumeration Date 04/28/2010
Last Updated 04/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5701 PHILLIPS AVE
PITTSBURGH PA, 15217-2254, US
Phone (412) 422-5100
Fax
Business Location
PO BOX 165
COWANSVILLE PA, 16218, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Pennsylvania
License Number OP006874
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According to our database, Danielle N. Jack NPI is 1174840300, taxonomy code is 224Z00000X and license number is OP006874, license state is located at Pennsylvania. Danielle N. Jack physically located at 5701 Phillips Ave, Pittsburgh PA, 15217-2254. NPI Number Danielle N. Jack has the Individual type.

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1174840300 NPI number is provided on an as is basis without warranty of any kind. 1174840300 is maintained by the National Plan & Provider Enumeration System. The contents of Danielle N. Jack are for informational purposes only.