Individual
JENNIFER W KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(218) 349-4864
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
(218) 349-4864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1698
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1698
NORTH DAKOTA STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE
ND
Enumeration date
06/06/2019
Last updated
11/27/2023
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