Individual
JESSICA ANNE JENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9346 OAK AVE, WACONIA, MN 55387-9422
(952) 223-2506
Mailing address
3440 BELT LINE BLVD APT 338, MINNEAPOLIS, MN 55416-2615
(651) 492-7539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
05/17/2024
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