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NPI Code Detail

MEDICARE: ABIGAIL JESKE

MEDICARE: ABIGAIL JESKE
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
1225X00000XOccupational Therapist2590WV

General Provider Information

NPI Number : 1184567307
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL JESKE
Provider Business Mailing Address
First Line : 260 BAYBERRY AVE
Second Line :
City : PRINCETON
State : WV
Zip : 24739-8515
Country : US
Telephone Number : 404-786-0712
Fax Number :
Provider Business Practice Location Address
First Line : 122 12TH ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2312
Country : US
Telephone Number : 304-341-5067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ABIGAIL JESKE ” Practice Location

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