Individual
JENNIFER L BRASPENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
74 JOURNEY WAY, VALPARAISO, IN 46383-0078
(192) 554-3782
Mailing address
88 E 600 S, VALPARAISO, IN 46383-9608
(219) 308-0881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179189
ANTHEM
IN
Enumeration date
10/16/2006
Last updated
09/29/2022
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