Basic Information
| Provider Information | |||||||||
| NPI: | 1588899108 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BILLMANN | ||||||||
| FirstName: | JENNA | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | MS, OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2022 POLO RUN DR | ||||||||
| Address2: | |||||||||
| City: | YARDLEY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190677261 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153699744 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3575 QUAKERBRIDGE RD | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086191205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096312800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2009 | ||||||||
| LastUpdateDate: | 04/03/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XP0200X | 46TR00494400 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | 225X00000X | OC011273 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.