Individual
JENNIFER MARIE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1404 S SALISBURY AVE, SPENCER, NC 28159-1921
(704) 633-3892
Mailing address
500 SEASONS PL NW APT 305, CONCORD, NC 28027-8580
(864) 993-8229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11568
NC
224Z00000X
Occupational Therapy Assistant
4938-27
WI
Other
Enumeration date
04/25/2013
Last updated
05/09/2018
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