Individual
JENNA MARIE KERLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7425 W AZURE DR STE 140, LAS VEGAS, NV 89130-4425
(702) 515-4009
Mailing address
9225 W CHARLESTON BLVD APT 2135, LAS VEGAS, NV 89117-7062
(832) 298-1881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2442
NV
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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