Individual
JENNIFER ANN YUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
42 TITICUT RD, RAYNHAM, MA 02767-1547
(508) 245-8025
Mailing address
42 TITICUT RD, RAYNHAM, MA 02767-1547
(508) 245-8025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3126
MA
224ZE0001X
Environmental Modification Occupational Therapy Assistant
3126
MA
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
3126
MA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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