Individual
MRS. JENNIFER L JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2626 GLENWOOD AVE, RALEIGH, NC 27608-1043
(877) 781-9565
Mailing address
418 REGULATORS WAY, HILLSBOROUGH, NC 27278-2085
(919) 245-0316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7120
NC
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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