Jenna Potz-Nielsen

NPI #1033575600 in Lake Kiowa, Texas

Provider Information

NPI Number: 1033575600
Entity Type: Individual
Name: Jenna Potz-Nielsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 12, 2016
Last Updated: Jan 12, 2016

Practice Location

Address: 122 KIOWA DR N
City: Lake Kiowa
State: Texas
ZIP Code: 76240-9534
Phone: (940) 634-2734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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