Individual
JENNIFER MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
3150 SHAWNEE DR, WINCHESTER, VA 22601-4208
(405) 420-2005
Mailing address
36 LEE RAE CT, STRASBURG, VA 22657-3872
(540) 247-4375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979907
—
VA
Enumeration date
05/10/2007
Last updated
11/10/2022
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