Jennifer Blaine, COTA

NPI #1396135729 in Ottawa, Kansas

Provider Information

NPI Number
1396135729
Entity Type
Individual
Name
Jennifer Blaine, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 22, 2015
Last Updated
Jan 22, 2015

Practice Location

Address
1404 S ELM ST
City
Ottawa
State
Kansas
ZIP Code
66067-3429
Phone
(785) 418-4691

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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