Individual
JENNIFER JEANELL QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
61 POPLAR LN, LEXINGTON, TN 38351-1854
(731) 217-5929
Mailing address
61 POPLAR LN, LEXINGTON, TN 38351-1854
(731) 217-5929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1556
TN
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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