Nicole Jenkins, OTR

NPI #1265077986 in Bluff Dale, Texas

Provider Information

NPI Number: 1265077986
Entity Type: Individual
Name: Nicole Jenkins, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Nov 18, 2019
Last Updated: Nov 27, 2019

Practice Location

Address: 715 CHURCH STREET
City: Bluff Dale
State: Texas
ZIP Code: 76433
Phone: (209) 840-4155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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