Individual
JENNIFER A. HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
524 N LAURA ST, MARYVILLE, MO 64468-1955
(660) 582-7447
Mailing address
524 N LAURA ST, MARYVILLE, MO 64468-1955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004660
MO
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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