Jennifer A. Herndon, OT

NPI #1255725859 in Maryville, Missouri

Provider Information

NPI Number: 1255725859
Entity Type: Individual
Name: Jennifer A. Herndon, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Mar 23, 2015
Last Updated: Mar 23, 2015

Practice Location

Address: 524 N LAURA ST
City: Maryville
State: Missouri
ZIP Code: 64468-1955
Phone: (660) 582-7447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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