Individual
MRS. JEANINE MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02915
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30015544
CIGNA
MD
01
—
300155441
KAISER PERMANENTE
MD
01
—
572250
OPTIMUM CHOICE
MD
01
—
71553557
AETNA
MD
01
—
KCY8
CAREFIRST BLUECROSS
MD
01
—
R3210001
FEDERAL BLUECROSS
—
Enumeration date
01/25/2007
Last updated
10/15/2020
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