Healthcare Provider Details

I. General information

NPI: 1316015894
Provider Name (Legal Business Name): JODI SEFTCHICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 06/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 MARLTON PIKE E SUITE 110
CHERRY HILL NJ
08003-2178
US

IV. Provider business mailing address

700 S HENDERSON RD SUITE 200
KING OF PRUSSIA PA
19406-3530
US

V. Phone/Fax

Practice location:
  • Phone: 856-489-5630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number46TR00340400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: