DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER BOTHAST

Active

JENNIFER BOTHAST is a Occupational Therapy Assistant healthcare provider located in SMYRNA, South Carolina. NPI 1396517256 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SMYRNA, SC

Registration Details

NPI Number
1396517256
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2023 (2.8199983322356 yrs)
Last Updated
Oct 24, 2023
License
5593 (SC)

Practice Information

Address
7143 NARROW LANE RD
SMYRNA, SC, 297437746
Browse SC providers · Browse ZIP 29743
Phone
9047552900
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.