Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 010903 | NY |
Y | 225X00000X | Occupational Therapist | 3321 | AL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3321 | AL |
N | 225XP0200X | Occupational Therapist - Pediatrics | 3321 | AL |
NPI | 1124351515 |
---|---|
Provider Name | Mrs. Jennifer Anne Ault |
First Address | Homewood, AL 35209 |
Second Address | Homewood, AL 35209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2009 |
Last Update Date | 08/08/2019 |