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

Individual provider Recreation Therapist · NPI 1750829644

Mrs. Jessica R Gangaware, CTRS is a Recreation Therapist in Lebanon, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
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Practice location Address checks out

1700 S Lincoln Ave
Lebanon, PA 17042-7529
Phone: (717) 272-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 68009 (PA)

Record details

NPI number1750829644
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedFebruary 10, 2017
Last updated in NPPESAugust 12, 2020
Certification dateAugust 12, 2020

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