Individual
JENNA LYNN DOWNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
5029
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060842189
ORGANIZATION
CT
Enumeration date
08/22/2018
Last updated
06/26/2022
Update your record
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