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NPI Code Detail

MEDICARE: JENNIFER LYNN CLAUSING OTD

MEDICARE: JENNIFER LYNN CLAUSING OTD
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
1225XP0200XPediatric Occupational TherapistOTH-008045AZ
2225X00000XOccupational TherapistOTH-008045AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376162743
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN CLAUSING OTD
Provider Business Mailing Address
First Line : 4045 E UNION HILLS DR STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3389
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4045 E UNION HILLS DR STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-3389
Country : US
Telephone Number : 602-485-4444
Fax Number : 480-451-7780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2020
Last Update Date : 04/15/2020

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Directions to “ JENNIFER LYNN CLAUSING OTD” Practice Location

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