MEDICARE: JESSICA ROWER

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
1	225X00000X	Occupational Therapist	OC009333	PA

General Provider Information

NPI Number	:	1457714867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ROWER

Provider Business Mailing Address
First Line	:	898 WAGGONERS GAP RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-1813
Country	:	US
Telephone Number	:	717-249-4525
Fax Number	:

Provider Business Practice Location Address
First Line	:	898 WAGGONERS GAP RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-1813
Country	:	US
Telephone Number	:	717-249-4525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2016
Last Update Date	:	04/02/2016

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Directions to “ JESSICA ROWER ” Practice Location

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