Individual
JENNIFER LYNN CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 OTIS BOWEN DR, MUNSTER, IN 46321-4158
(219) 934-0590
Mailing address
916 W PINE ST, GRIFFITH, IN 46319-2054
(219) 644-5411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000840A
IN
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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