| NPI | 1609427616 |
|---|---|
| Former Name | JENNIFER LYNN KRIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010714) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016460) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-10-19 |