Individual
MS. JENNIFER NASSIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
46425
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46425
NCTRC
—
Enumeration date
11/01/2006
Last updated
03/28/2025
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