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Individual

JENIFFER ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT/OTR/L

Contact information

Practice address
511 HIGHWAY 1 S, WASHINGTON, IA 52353-9782
(319) 653-5494
Mailing address
2611 HIGHWAY 1, WASHINGTON, IA 52353-9480

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01473
IA

Other

Enumeration date
08/02/2011
Last updated
08/02/2011
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