MEDICARE: JENNIFER C CROOM OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1426	NM

General Provider Information

NPI Number	:	1962647123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER C CROOM OTR

Provider Business Mailing Address
First Line	:	5690 SANTA TERESITA DR
Second Line	:	STE A-1
City	:	SANTA TERESA
State	:	NM
Zip	:	88008-9206
Country	:	US
Telephone Number	:	915-342-3399
Fax Number	:	866-830-3399

Provider Business Practice Location Address
First Line	:	5690 SANTA TERESITA DR
Second Line	:	STE A-1
City	:	SANTA TERESA
State	:	NM
Zip	:	88008-9206
Country	:	US
Telephone Number	:	915-342-3399
Fax Number	:	866-830-3399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	12/02/2008

Similar Medicare Providers

1568601169 — CYNTHIA A GEE M.S., CCC-SLP
Practice Location Address:

5690 SANTA TERESITA DR STE A-1
SANTA TERESA, NM
88008-9206

Practice Phone: 915-603-5019
Practice Fax: 866-830-3399

1710127105 — STEPHANIE A CAPSHAW OTR
Practice Location Address:

5690 SANTA TERESITA DR , STE. A-1
SANTA TERESA, NM
88008-9206

Practice Phone: 915-603-5019
Practice Fax: 866-830-3399

1215178819 — YVETTE SIERRA DUCHENE M.S., CCC-SLP
Practice Location Address:

5690 SANTA TERESITA DR STE A-1
SANTA TERESA, NM
88008-9206

Practice Phone: 915-603-5019
Practice Fax: 866-830-3399

1124009246 — DR. BERNARD GRAMLICH PHARM.D.
Practice Location Address:

16089 SAN DIEGUITO ROAD H 102/9227
RANCHO SANTA FE, CA
92067-9206

Practice Phone: 858-759-6625
Practice Fax: 858-759-6927

1578591459 — MICHAEL CHU-MING LEE M.D.
Practice Location Address:

16211 LOS ARBOLES
RANCHO SANTA FE, CA
92067-9206

Practice Phone: 858-472-3024
Practice Fax:

1407708068 — TAIZEN D MATA CHAVIRA
Practice Location Address:

5312 RIO BRAVO DR STE 10
SANTA TERESA, NM
88008-9210

Practice Phone: 575-915-1338
Practice Fax: 575-915-1819

Directions to “ JENNIFER C CROOM OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.