Provider Demographics
NPI:1073000220
Name:PERCHALUK, JESSICA (OTD, MS, OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:PERCHALUK
Suffix:
Gender:F
Credentials:OTD, MS, OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BAKERS DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1016
Mailing Address - Country:US
Mailing Address - Phone:609-227-3799
Mailing Address - Fax:
Practice Address - Street 1:1122 STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4218
Practice Address - Country:US
Practice Address - Phone:215-357-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015521225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation