Individual
JENNA MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5438
CT
225X00000X
Occupational Therapist
OT.0006883
CO
225X00000X
Occupational Therapist
OTH-008853
AZ
Other
Enumeration date
08/07/2022
Last updated
01/22/2024
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