Jody Tackley

NPI #1235661141 in Owego, New York

Provider Information

NPI Number
1235661141
Entity Type
Individual
Name
Jody Tackley
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Mar 30, 2017
Last Updated
Mar 30, 2017

Practice Location

Address
211 MAIN ST
City
Owego
ZIP Code
13827-1633
Phone
(607) 948-4047

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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