Jennifer A Fasnacht, OT

NPI #1982731501 in Monticello, Iowa

Provider Information

NPI Number: 1982731501
Entity Type: Individual
Name: Jennifer A Fasnacht, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Feb 28, 2007
Last Updated: Oct 30, 2012

Practice Location

Address: 818 W 1ST ST
Address 2: SUITE 301
City: Monticello
State: Iowa
ZIP Code: 52310-1307
Phone: (319) 465-3059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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