Individual
MRS. JENNA E ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
28100 TORCH PKWY, WARRENVILLE, IL 60555-3938
(630) 413-5800
Mailing address
13 WATER ST, FREDONIA, PA 16124-3029
(724) 699-7706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012317
PA
225XG0600X
Gerontology Occupational Therapist
OC012317
PA
Other
Enumeration date
04/03/2013
Last updated
09/21/2016
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