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Individual
JENNA ELIZABETH WAIZ
Active
Individual
JENNA ELIZABETH WAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-132359
IN
225X00000X
Occupational Therapist
Primary
298241
KY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
298241
KY
Other
Enumeration date
09/23/2020
Last updated
03/30/2026
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