Jennifer Bray

Individual provider Active NPI Occupational Therapy Assistant · Kennett Square, PA

NPI 1811698236 · NPPES record last updated Mar 13, 2023

Key facts

NPI
1811698236
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OC60715096 (WA)
Practice address
101 E State St
Kennett Square, PA 19348-3109
Phone
(800) 243-4556
NPI assigned
Mar 13, 2023
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

LicenseStateTypeSpecialty
OC60715096WAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60715096 WA Yes

Addresses

Primary practice location

101 E State St
Kennett Square, PA 19348-3109

Mailing address

27625 238TH Ave SE
Maple Valley, WA 98038-5103
Phone (253) 670-3956

Other providers in Kennett Square, PA

All providers in Kennett Square, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.