Individual
MS. JENNIFER RICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(917) 359-0673
Mailing address
777 HOOPES AVE APT G104, IDAHO FALLS, ID 83401-6079
(917) 359-0673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010419
NY
225XM0800X
Mental Health Occupational Therapist
010419
NY
Other
Enumeration date
06/22/2010
Last updated
09/22/2023
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