Individual
JENNA NICOLE PELONERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
509 MEMORIAL DR APT 209, NEPTUNE, NJ 07753-5177
(732) 320-0098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
115433
IA
225X00000X
Occupational Therapist
Primary
14768
MA
225X00000X
Occupational Therapist
46TR01068400
NJ
225X00000X
Occupational Therapist
OC018501
PA
Other
Enumeration date
12/05/2022
Last updated
12/27/2022
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