Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | U2-0001139 | DE |
NPI | 1023477361 |
---|---|
Provider Name | Jennifer Kaufman |
First Address | Rehoboth Beach, DE 19971 |
Second Address | Rehoboth Beach, DE 19971 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 16/02/2016 |