Individual
JENNIFER ANDREA SYLVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5032 S 190TH ST, OMAHA, NE 68135-3555
(402) 651-7646
Mailing address
5032 S 190TH ST, OMAHA, NE 68135-3555
(402) 651-7646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103413
MN
Other
Enumeration date
05/03/2007
Last updated
11/24/2010
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