| NPI | 1497906622 |
|---|---|
| Former Name | JENNIFER ARLENE SACKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004448) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2645) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-08-16 |