Individual
KEISHA JENNINGS-EAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06121
MD
225X00000X
Occupational Therapist
Primary
T00599
MD
225XE0001X
Environmental Modification Occupational Therapist
06121
MD
225XG0600X
Gerontology Occupational Therapist
06121
MD
225XR0403X
Driving and Community Mobility Occupational Therapist
06121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131611257
—
MD
Enumeration date
04/29/2008
Last updated
09/22/2020
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