Individual
JENNIFER NICHOLE DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12400 HIGH BLUFF DR STE 100, SAN DIEGO, CA 92130-3077
(866) 480-3874
Mailing address
12400 HIGH BLUFF DR STE 100, SAN DIEGO, CA 92130-3077
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OTP-OTA-LIC4075
MT
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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