Individual
JENNIFER ANN NEZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
543 42ND AVE S, MOORHEAD, MN 56560-6720
(320) 766-0710
Mailing address
543 42ND AVE S, MOORHEAD, MN 56560-6720
(320) 766-0710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102976
MN
225X00000X
Occupational Therapist
Primary
1293
ND
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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