Individual
JENNIFER JEANNE SOROS
Active
Individual
JENNIFER JEANNE SOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007508
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028740
JEN KUNDRACH
OH
05
—
0028740
—
OH
05
—
8959042
—
OH
Enumeration date
03/16/2010
Last updated
08/10/2021
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