Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LEE WHITACRE, COTA/L
ActiveJENNIFER LEE WHITACRE, COTA/L is a Occupational Therapy Assistant healthcare provider located in WILEY FORD, West Virginia. NPI 1902366065 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WILEY FORD, WV
Registration Details
- NPI Number
- 1902366065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2019 (7.3980903513852 yrs)
- Last Updated
- Mar 23, 2019
- Licenses
-
A02704 (MD)C2260 (WV)
Practice Information
- Address
-
142 HIGHLAND AVEWILEY FORD, WV, 267679735Browse WV providers · Browse ZIP 26767
- Phone
- 3048132604
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
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.