Individual
JAYE RICHARD JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 450-6900
Mailing address
1510 ZARTHAN AVE S UNIT 101, SAINT LOUIS PARK, MN 55416-1451
(507) 696-3129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105391
MN
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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