Healthcare Provider Details
I. General information
NPI: 1407135486
Provider Name (Legal Business Name): JENNIFER STEINHAUS MA, OTR/L, ATP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/09/2011
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20288 HIGHWAY 15 N SUITE 100
HUTCHINSON MN
55350-5684
US
IV. Provider business mailing address
20288 HIGHWAY 15 N SUITE 100
HUTCHINSON MN
55350-5684
US
V. Phone/Fax
- Phone: 320-587-2326
- Fax: 320-234-6358
- Phone: 320-587-2326
- Fax: 320-234-6358
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 102692 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: