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NPI Code Detail

MEDICARE: ABIGAIL ELIZABETH JESENKO OTR/L

MEDICARE: ABIGAIL ELIZABETH JESENKO OTR/L
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
1225X00000XOccupational TherapistOT013567OH

General Provider Information

NPI Number : 1306709340
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL ELIZABETH JESENKO OTR/L
Provider Business Mailing Address
First Line : 1036 ANTAR PL APT B
Second Line :
City : COLUMBUS
State : OH
Zip : 43240-2223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2030 STRINGTOWN RD STE 310
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3993
Country : US
Telephone Number : 614-782-8718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ ABIGAIL ELIZABETH JESENKO OTR/L” Practice Location

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