Healthcare Provider Details

I. General information

NPI: 1396650222
Provider Name (Legal Business Name): EMME JANE YOUSE OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 THOMPSON ST
JERSEY SHORE PA
17740-1729
US

IV. Provider business mailing address

1008 THOMPSON ST
JERSEY SHORE PA
17740-1729
US

V. Phone/Fax

Practice location:
  • Phone: 856-220-7292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021653
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: