Individual
MRS. JENNIFER ELLEN BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19722 LACE RD, CHUGIAK, AK 99567
(860) 857-1763
Mailing address
19722 LACE RD, CHUGIAK, AK 99567
(860) 857-1763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116135
TX
225X00000X
Occupational Therapist
Primary
186975
AK
225X00000X
Occupational Therapist
19212
FL
Other
Enumeration date
12/23/2011
Last updated
09/30/2022
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