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Individual

JENNIFER SUSAN CRENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
48 LOCATION RD, BELGRADE, ME 04917-4026
(971) 270-8727
Mailing address
48 LOCATION RD, BELGRADE, ME 04917-4026
(207) 200-5599

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT3779
ME
225X00000X
Occupational Therapist
0005072
CO
225X00000X
Occupational Therapist
Primary
OT3779
ME

Other

Enumeration date
07/17/2019
Last updated
10/21/2020
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