JESSICA PROVANCE

UNIONTOWN, PA
NPI1063976439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC013543)
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
JESSICA PROVANCE
75 HICKLE ST
UNIONTOWN, PA 15401-4350
Phone number: 724-437-9871
Mailing Address
JESSICA PROVANCE
75 HICKLE ST
UNIONTOWN, PA 15401-4350
Phone number: