Individual
MS. JENNIFER R DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA ,L
Contact information
Practice address
2300 WARREN ST, EUGENE, OR 97405-1116
(541) 686-2828
Mailing address
PO BOX 165, BAYARD, NM 88023-0165
(505) 313-3229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01069401
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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