Individual
CHERIE AUTUMN JENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
207 W GEORGIA AVE, NAMPA, ID 83686-3024
(208) 489-5700
(208) 489-4077
Mailing address
207 W GEORGIA AVE, NAMPA, ID 83686-3024
(208) 489-5700
(208) 489-4077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1166
ID
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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