Individual
MRS. JENNIFER LAIRD BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
21006 WILLS TRCE, OXFORD, MS 38655-5186
(662) 471-8848
Mailing address
21006 WILLS TRCE, OXFORD, MS 38655-5186
(662) 471-8848
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0375
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470912908
—
MO
Enumeration date
02/15/2007
Last updated
03/25/2014
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