Keisha Jennings-Eakin
Occupational Therapist Environmental Modification Driving and Community Mobility Occupational Therapist - Gerontology and 1 more
658 Boulton St
Bel Air
, Maryland 21014-4214
Keisha Jennings-Eakin
Occupational Therapist Environmental Modification Driving and Community Mobility Occupational Therapist - Gerontology and 1 more
658 Boulton St
Bel Air
, Maryland 21014-4214
(434) 420-6747
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About
Features
Specialties
- Occupational Therapist
- Environmental Modification
- Occupational Therapist - Gerontology
- Driving and Community Mobility
Languages spoken
- English
Location
First Address
- Keisha Jennings-Eakin
- 2962 Colchester Ct
- Abingdon, MD
- Zip : 21009-1922
- Fax : (434) 420-6747
- Phone : (443) 402-5490
Second Address
- Keisha Jennings-Eakin
- 658 Boulton St
- Bel Air, MD
- Zip : 21014-4214
- Fax : (301) 564-0284
- Phone : (301) 581-8054
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 06121 | MD |
| Y | 225X00000X | Occupational Therapist | T00599 | MD |
| N | 225XE0001X | Environmental Modification | 06121 | MD |
| N | 225XG0600X | Occupational Therapist - Gerontology | 06121 | MD |
| N | 225XR0403X | Driving and Community Mobility | 06121 | MD |
National Provider Identifier
| NPI | 1316112527 |
|---|---|
| Provider Name | Keisha Jennings-Eakin |
| First Address | Abingdon, MD 21009-1922 |
| Second Address | Bel Air, MD 21014-4214 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2008 |
| Last Update Date | 22/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 131611257 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.