Individual
JENNIFER OUANITA DEADERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
190 BROADWAY ST STE 101, ASHEVILLE, NC 28801-2501
(828) 412-0908
Mailing address
25 BRADLEY ST, ASHEVILLE, NC 28806-4406
(828) 412-0908
(828) 552-5038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT1436
CA
225X00000X
Occupational Therapist
Primary
OT17937
FL
Other
Enumeration date
05/23/2007
Last updated
02/08/2022
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