Individual
JENNERRA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 CHAPELTOWNE CIR, NOTTINGHAM, MD 21236-1240
(800) 330-7711
Mailing address
99 CHAPELTOWNE CIR, NOTTINGHAM, MD 21236-1240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02076
MD
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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