Individual
JENNIFER KAY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1687 WOODLANE DR STE 201, WOODBURY, MN 55125-3047
(651) 264-9814
(651) 738-9889
Mailing address
3810 NEW BRIGHTON RD, ARDEN HILLS, MN 55112-3213
(651) 264-9814
(651) 738-9889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094H7FO
BCBS PROVIDER NUMBER
MN
01
—
2442958
AMERICA'S PPO
MN
05
—
41031600
—
WI
01
—
6406266
MEDICA PROVIDER NUMBER
MN
01
—
HP61130
HEALTHPARTNERS
MN
Enumeration date
08/05/2006
Last updated
07/09/2007
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