Individual
JENNIFER J MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
308 BENITA DR # 3818470, MINGO JCT, OH 43938-1329
(740) 381-8470
Mailing address
121 PARK ST, MINGO JUNCTION, OH 43938-1128
(740) 381-3278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01606
OH
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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