Individual
JENNA HARPER
Active
Individual
JENNA HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ORT/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007452
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119007452
STATE LICENSE
VA
Enumeration date
09/13/2017
Last updated
09/13/2017
Update your record
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