Jennifer Lee Plantz

Individual provider Active NPI Occupational Therapy Assistant · Boonsboro, MD

NPI 1992273189 · NPPES record last updated Nov 15, 2018

Key facts

NPI
1992273189
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
8507 Mapleville Rd
Boonsboro, MD 21713-1818
Phone
(301) 733-6284
NPI assigned
Nov 6, 2018
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
OP007891PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes
Occupational Therapy Assistant 224Z00000X OP007891 PA

Addresses

Primary practice location

8507 Mapleville Rd
Boonsboro, MD 21713-1818

Mailing address

8507 Mapleville Rd
Boonsboro, MD 21713-1818

Other practice location 1

333 Mill St
Hagerstown, MD 21740-6473
Phone (301) 665-8700

Other providers in Boonsboro, MD

All providers in Boonsboro, MD · Occupational Therapy Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.