Individual
MRS. JENNA BROOKE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
630 STONEGLEN DR, KELLER, TX 76248-1316
(817) 734-6515
(817) 717-8584
Mailing address
630 STONEGLEN DR, KELLER, TX 76248-1316
(817) 734-6515
(817) 717-8584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121161
TX
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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