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Individual

MRS. JENNIFER DANIELLE PAPENFUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5120 MASON PARK DR, ROANOKE, VA 24019-2722
(540) 556-7776
Mailing address
5120 MASON PARK DR, ROANOKE, VA 24019-2722
(540) 556-7776

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004441
VA

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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