Jean Vernice Ennis, OTR

NPI #1841356284 in Casper, Wyoming

Provider Information

NPI Number: 1841356284
Entity Type: Individual
Name: Jean Vernice Ennis, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 29, 2006
Last Updated: Jun 1, 2015

Practice Location

Address: 5715 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82609-4322
Phone: (307) 267-0311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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