Jessica Therese Derita, OTR/L

NPI #1922601400 in Flourtown, Pennsylvania

Provider Information

NPI Number: 1922601400
Entity Type: Individual
Name: Jessica Therese Derita, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Nov 18, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 110 W WISSAHICKON AVE
City: Flourtown
State: Pennsylvania
ZIP Code: 19031-1802
Phone: (610) 331-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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