Individual
JENNIFER LYN BIRCHENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, PA-C
Contact information
Practice address
6934 AVIATION BLVD, GLEN BURNIE, MD 21061-2593
(443) 949-0814
Mailing address
6934 AVIATION BLVD, GLEN BURNIE, MD 21061-2593
(443) 949-0814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6350
MD
363A00000X
Physician Assistant
Primary
C0005190
MD
Other
Enumeration date
07/21/2007
Last updated
09/22/2015
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