Individual
MS. JENNA MICHELLE SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
707 N BROADWAY, BALTIMORE, MD 21205-1832
(443) 923-1872
Mailing address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08683
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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