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Individual
SIERRA JENKS
Active
Individual
SIERRA JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012968
IL
225X00000X
Occupational Therapist
OT.4771 OT
SC
225X00000X
Occupational Therapist
OT005529
GA
Other
Enumeration date
05/17/2016
Last updated
05/22/2020
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