Provider Demographics
NPI:1225921570
Name:SCHULTZ, JESSICA ELYCE (MOT OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ELYCE
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:ELYCE
Other - Last Name:GITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT OTR/L
Mailing Address - Street 1:513 WATCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:VILLANOVA
Mailing Address - State:PA
Mailing Address - Zip Code:19085-1024
Mailing Address - Country:US
Mailing Address - Phone:610-506-6361
Mailing Address - Fax:
Practice Address - Street 1:300 FRANKLIN DR
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1383
Practice Address - Country:US
Practice Address - Phone:610-981-2740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012071225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist