Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB GERARD VAXMONSKY, OTLR
Active Sole ProprietorMR. JACOB GERARD VAXMONSKY, OTLR is a Occupational Therapist healthcare provider located in PORT GRIFFITH, Pennsylvania. NPI 1255428223 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PORT GRIFFITH, PA
Registration Details
- NPI Number
- 1255428223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2006 (19.66479557466 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OC005082L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1315 MAIN STPORT GRIFFITH, PA, 186401536Browse PA providers · Browse ZIP 18640
- Phone
- 5706555697
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.