| Jefferson Elder Care | |
|
130 S 9th St Suite 647 Philadelphia PA 19107-5233 | |
| (215) 503-6791 | |
| Not Available |
| Full Name | Jefferson Elder Care |
|---|---|
| Speciality | Occupational Therapist |
| Location | 130 S 9th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Janice P. Burke (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2155032896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Elder Care 130 S 9th St Suite 647 Philadelphia PA 19107-5233 Ph: (215) 503-6791 | Jefferson Elder Care 130 S 9th St Suite 647 Philadelphia PA 19107-5233 Ph: (215) 503-6791 |
| NPI Number | 1235378209 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 08/28/2013 |
| Medicare PECOS PAC ID | 0143268326 |
|---|---|
| Medicare Enrollment ID | O20090624000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235378209 | NPI | - | NPPES |
| Provider Name | Nicole M Davis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518109446 PECOS PAC ID: 7911058326 Enrollment ID: I20090625000052 |
| Provider Name | Catherine V Piersol |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932340866 PECOS PAC ID: 8527119924 Enrollment ID: I20090625000090 |
| Provider Name | Michelle Gerlynn Ralph |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548555931 PECOS PAC ID: 4284805219 Enrollment ID: I20110922000307 |
| Provider Name | Rachel M. Wiley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043634421 PECOS PAC ID: 3577793769 Enrollment ID: I20140310000780 |
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