Mrs. Jennifer Renee Stump
Occupational Therapist Human Factors Low Vision Environmental Modification and 4 more
15425 South 48th Street Ste 100
Phoenix
, Arizona 85044
Mrs. Jennifer Renee Stump
Occupational Therapist Human Factors Low Vision Environmental Modification and 4 more
15425 South 48th Street Ste 100
Phoenix
, Arizona 85044
(480) 408-3250
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About
Features
Specialties
- Occupational Therapist
- Environmental Modification
- Feeding, Eating & Swallowing
- Human Factors
- Low Vision
- Occupational Therapist - Neurorehabilitation
- Occupational Therapist - Physical Rehabilitation
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Renee Stump
- 1334 E Chandler Blvd. Pmb C-13
- Phoenix, AZ
- Zip : 85048-3700
- Phone : (480) 408-3250
Second Address
- Mrs. Jennifer Renee Stump
- 15425 South 48th Street Ste 100
- Phoenix, AZ
- Zip : 85044
- Phone : (480) 408-3250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 6103 | AZ |
| N | 225XE0001X | Environmental Modification | 6103 | AZ |
| N | 225XF0002X | Feeding, Eating & Swallowing | 6103 | AZ |
| N | 2251H1300X | Human Factors | 6103 | AZ |
| N | 225XH1300X | Human Factors | 6103 | AZ |
| N | 225XL0004X | Low Vision | 6103 | AZ |
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 6103 | AZ |
| N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6103 | AZ |
| N | 225XP0200X | Occupational Therapist - Pediatrics | 6103 | AZ |
National Provider Identifier
| NPI | 1518284967 |
|---|---|
| Provider Name | Mrs. Jennifer Renee Stump |
| First Address | Phoenix, AZ 85048-3700 |
| Second Address | Phoenix, AZ 85044 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2010 |
| Last Update Date | 14/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6103 | OCCUPATIONAL THERAPY (01) | AZ |
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.