Individual
MRS. JENNIFER DIANE NEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11115976
TBOTE
TX
Enumeration date
05/25/2021
Last updated
12/13/2022
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