IndividualActive
Jessica Gangaware, CTRS
NPI 1750829644 · Recreation Therapist · Lebanon, PA
Provider details
- NPI number
- 1750829644
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 68009 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1700 S Lincoln Ave
Lebanon, PA 17042-7529
Phone: (717) 272-6621
Approximate (ZIP-level) locationGet directions
Mailing address
650 E Indian School Road
Phoenix, AZ 85012-0777
Registry dates
- Enumerated
- 2017-02-10
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.