Healthcare Provider Details

I. General information

NPI: 1134787732
Provider Name (Legal Business Name): ALLISON JILL CASSEL MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON JILL LITOSKY MS, OTR/L

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N WEST END BLVD
QUAKERTOWN PA
18951-1180
US

IV. Provider business mailing address

99 N WEST END BLVD
QUAKERTOWN PA
18951-1180
US

V. Phone/Fax

Practice location:
  • Phone: 215-804-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC010993
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC010993
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: