Jenna Cancillieri, OT
Individual provider Active NPI Occupational Therapist · Dublin, VA
NPI 1689934150 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1689934150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00520200 (VA)
- Practice address
- 5286 Alexander Rd
Dublin, VA 24084-3650 - Phone
- (540) 674-6400
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00520200 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00520200 | VA | Yes |
Addresses
Primary practice location
5286 Alexander Rd
Dublin, VA 24084-3650
Mailing address
3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
Other providers in Dublin, VA
- Kelsey Lee Brimer
- Teresa Brookman
- Rita Price Burdette
- Jake Patrick Callahan
- David W. Campbell
- Patrick Carow
- Linda Sue Cheek
- Childrens Choice, P.C.
- Thomas Joseph Ciappina
- Tracy J. Cohn
All providers in Dublin, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.