| Doctor Name: | MRS. JENNIFER DEPIETRO |
| NPI Number: | 1366619843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS OTR/L CHT |
| License Number: | OC005966L |
| Business Practice Address: | 334 Main St Dickson City, PA - 185191668 |
| Business Phone Number: | 5703071769 |
| Business Fax Number: | |
| Mailing Address: | 408 4th St, DUNMORE |
| State: | PA |
| Postal Code: | 185122756 |
| Phone Number: | 5703422831 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OC005966L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |