Individual
JENNIFER RENEE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
HC 63 BOX 2580, ROMNEY, WV 26757-9718
(304) 822-7527
Mailing address
11800 HOUSE DR NE, CUMBERLAND, MD 21502-6495
(301) 724-1262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1635
WV
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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