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NPI Code Detail

MEDICARE: MRS. JENNIFER WHITTAKER-SMITH COTA/L

MEDICARE:  MRS. JENNIFER  WHITTAKER-SMITH  COTA/L
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
1224Z00000XOccupational Therapy AssistantOP006992PA

General Provider Information

NPI Number : 1841605771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER WHITTAKER-SMITH COTA/L
Provider Business Mailing Address
First Line : 249 W MCMURRAY RD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-2468
Country : US
Telephone Number : 724-941-7150
Fax Number : 724-941-6528
Provider Business Practice Location Address
First Line : 249 W MCMURRAY RD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-2468
Country : US
Telephone Number : 724-941-7150
Fax Number : 724-941-6528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2014
Last Update Date : 06/30/2014

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Directions to “ MRS. JENNIFER WHITTAKER-SMITH COTA/L” Practice Location

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