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Individual

MRS. JENNIFER MICHELE SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
711 RUSH AVE, BELLEFONTAINE, OH 43311
(937) 592-1625
(937) 592-3489
Mailing address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(937) 578-7841
(937) 578-7891

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7372
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34193568100
BWC
OH
Enumeration date
09/07/2006
Last updated
10/16/2023
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