Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamal Omar Willis

Individual provider Occupational Therapy Assistant · NPI 1528610250

Jamal Omar Willis is an Occupational Therapy Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

2101 Belmont Ave
Philadelphia, PA 19131-1648
Phone: (215) 878-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence TOP009273 (PA)

Record details

NPI number1528610250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 12, 2019

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