Individual
JENNIFER ELIZABETH BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
056.014955
IL
225X00000X
Occupational Therapist
Primary
106885
MN
Other
Enumeration date
07/09/2019
Last updated
06/11/2024
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