Individual
MS. JENNIFER LYNN PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
5100 HARROUN RD, SYLVANIA, OH 43560-2110
(419) 824-1965
(419) 824-1773
Mailing address
5100 HARROUN RD, SYLVANIA, OH 43560-2110
(419) 824-1965
(419) 824-1773
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01622
OH
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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