Individual
JENNIFER KETTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7349 HONEYSUCKLE STE 100, TEMPLE, TX 76502-5888
(254) 780-9658
Mailing address
7349 HONEYSUCKLE STE 100, TEMPLE, TX 76502-5888
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
124075
TX
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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