Individual
JENNIFER CANNIZZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 REFERENDUM DR NE, BOLIVIA, NC 28422-7578
(910) 406-5100
(866) 293-0649
Mailing address
9150 CROSSBILL DR, LELAND, NC 28451-2295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16914
NC
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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