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NPI Code Detail

MEDICARE: JENNA TOMEVI COTA/L

MEDICARE: JENNA TOMEVI COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOP009463PA

General Provider Information

NPI Number : 1457827263
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA TOMEVI COTA/L
Provider Business Mailing Address
First Line : 2209 WILDER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-4232
Country : US
Telephone Number : 717-817-6044
Fax Number :
Provider Business Practice Location Address
First Line : 4401 HAVERFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-1332
Country : US
Telephone Number : 215-349-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2018
Last Update Date : 10/18/2018

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Directions to “ JENNA TOMEVI COTA/L” Practice Location

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