Healthcare Provider Details

I. General information

NPI: 1952604555
Provider Name (Legal Business Name): PATRICIA JENKINS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HAYDEN AVE
LEXINGTON MA
02421-7929
US

IV. Provider business mailing address

75 DAVIS ST
NORTH ANDOVER MA
01845-2711
US

V. Phone/Fax

Practice location:
  • Phone: 781-372-7000
  • Fax:
Mailing address:
  • Phone: 914-275-8649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOTL2511
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: