Individual
ANDREA ELISE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
473 FDR DR, NEW YORK, NY 10002-2024
(212) 475-2000
Mailing address
473 FDR DR, NEW YORK, NY 10002-2024
(212) 475-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017503
NY
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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