Individual
JENNA K PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 MYRTLE ST, MANCHESTER, NH 03104-4314
(627) 381-1136
Mailing address
31 CRAWFORD AVE, EXETER, NH 03833-3002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2360
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360
MEDICARE
—
Enumeration date
09/11/2017
Last updated
09/11/2017
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