Jackie Brocious

NPI #1902767692 in Plains, Pennsylvania

Provider Information

NPI Number
1902767692
Entity Type
Individual
Name
Jackie Brocious
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Nov 21, 2025
Last Updated
Nov 21, 2025

Practice Location

Address
19 E STANTON ST
City
Plains
ZIP Code
18705-3916
Phone
(570) 507-4682

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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