Individual
MS. JENNIFER L. COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
112 N 10TH ST, CLINTON, IA 52732-4738
(563) 219-2271
Mailing address
112 N 10TH ST, CLINTON, IA 52732-4738
(563) 219-2271
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00710
IA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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