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NPI Code Detail

MEDICARE: JENNIFER LYNNE RIEDEN OTD

MEDICARE:   JENNIFER LYNNE RIEDEN  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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1679366827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNNE RIEDEN OTD
Provider Business Mailing Address
First Line : 3220 18TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1002
Country : US
Telephone Number : 703-483-5108
Fax Number :
Provider Business Practice Location Address
First Line : 3220 18TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1002
Country : US
Telephone Number : 703-483-5108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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Directions to “ JENNIFER LYNNE RIEDEN OTD” Practice Location

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