Individual
MRS. JENNIFER PAULINE BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.TR/L
Contact information
Practice address
935 TRANCAS ST, NAPA, CA 94558-2932
(415) 823-3498
Mailing address
1323 TAYLOR ST NW, WASHINGTON, DC 20011
(202) 413-5446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13250
CA
Other
Enumeration date
11/19/2013
Last updated
11/17/2021
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