Individual
JENNIFER K MAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5855 SONORA PASS DR, SPARKS, NV 89436-1870
(925) 470-0437
Mailing address
5855 SONORA PASS DR, SPARKS, NV 89436-1870
(925) 470-0437
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2955
NV
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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