Individual
PHYLLIS ASHWELL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 RIVER ST, BILLERICA, MA 01821-1827
(978) 436-9405
(978) 436-9412
Mailing address
35 RIVER ST, BILLERICA, MA 01821-1827
(978) 436-9405
(978) 436-9412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
242094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242094
ALLIED HEALTH PROFESSIONS
MA
Enumeration date
11/09/2007
Last updated
11/09/2007
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