Jennifer Bosworth, ORTL
Individual provider Active NPI Occupational Therapist · Alma, MI
NPI 1770042459 · NPPES record last updated Mar 13, 2019
Key facts
- NPI
- 1770042459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201010497 (MI)
- Practice address
- 1200 Wright Ave
Alma, MI 48801-1133 - Phone
- (800) 321-9357
- NPI assigned
- Mar 13, 2019
- 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 |
|---|---|---|---|
| 5201010497 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010497 | MI | Yes |
Addresses
Primary practice location
1200 Wright Ave
Alma, MI 48801-1133
Mailing address
397 Donna Dr
Portland, MI 48875-1168
Other providers in Alma, MI
- Odin P Bollman
- Jeffrey Lawrence Bonacci
- Mikenna Borie
- Mackenzi Borsenik
- William Michael Bosquez
- Carajane Arbutus Bott
- Brianna Bowman
- Sarah Anne Bowman
- Avery Braman
- Eric Braman
All providers in Alma, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2019. 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.