Montross, Jennifer L

Montross, Jennifer L is an individual health care provider with primary practice located at Rr 4 Box 646 Encore Therapy Services Inc, W Pittston PA 18643. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Montross, Jennifer L can be contacted via phone (570) 388-4094.

Contact Information

Primary practice address
Rr 4 Box 646 Encore Therapy Services Inc W Pittston PA 18643
Phone: (570) 388-4094
Fax: (570) 388-2104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC005459L

Profile Details

NPI number 1457571002
LBN Legal business name Montross, Jennifer L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457571002 NPPES
Pennsylvania MEDICAID 10145655100001

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