Individual
MRS. JENNIFER ANNE AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010903
NY
225X00000X
Occupational Therapist
Primary
3321
AL
225XN1300X
Neurorehabilitation Occupational Therapist
3321
AL
225XP0200X
Pediatric Occupational Therapist
3321
AL
Other
Enumeration date
09/16/2009
Last updated
08/08/2019
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