Individual
JENNIFER LYNN CLAUSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4045 E UNION HILLS DR STE 110, PHOENIX, AZ 85050-3389
(602) 485-4444
(480) 451-7780
Mailing address
4045 E UNION HILLS DR STE 110, PHOENIX, AZ 85050-3389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTH-008045
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008045
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64
—
AZ
Enumeration date
04/15/2020
Last updated
04/15/2020
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