Individual
MR. JEREMY RYAN FURNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4101 8TH ST NW, WASHINGTON, DC 20011-7909
(202) 656-2118
Mailing address
4101 8TH ST NW, WASHINGTON, DC 20011-7909
(202) 656-2118
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
0119005205
VA
225XG0600X
Gerontology Occupational Therapist
Primary
OT0100006766
DC
225XG0600X
Gerontology Occupational Therapist
OTR2083
AR
Other
Enumeration date
04/17/2011
Last updated
02/05/2013
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