Individual
JENNIFER MARIE AMMERLAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
312 GREEN ST, B, BLOWING ROCK, NC 28605-9742
(843) 319-9223
Mailing address
1804 THISTLE CT, FLORENCE, SC 29505-3239
(843) 319-9223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9423
NC
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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