Individual
MISS JENNIFER KAYE PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2222 S AVE A, YUMA, AZ 85364-8315
(928) 783-8831
Mailing address
1334 S AVE B, YUMA, AZ 85364-4350
(269) 487-8177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3710
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
TAXONOMY CODE
AZ
Enumeration date
10/09/2007
Last updated
10/09/2007
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