Individual
JENNIFER ENNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 COMMERCIAL ST, EMPORIA, KS 66801-3901
(620) 803-2855
(620) 208-4488
Mailing address
505 WILSON ST, EMPORIA, KS 66801
(620) 660-7009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01977
KS
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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