MEDICARE: MS. JENNIFER SANDERS 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
1	225X00000X	Occupational Therapist	1845	AL

General Provider Information

NPI Number	:	1720218233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER SANDERS OTR/L

Provider Business Mailing Address
First Line	:	245 CAHABA VALLEY RD
Second Line	:	STE 200
City	:	PELHAM
State	:	AL
Zip	:	35124-2217
Country	:	US
Telephone Number	:	205-942-6820
Fax Number	:

Provider Business Practice Location Address
First Line	:	3141 OLD COLUMBIANA RD.
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-3703
Country	:	US
Telephone Number	:	205-822-1580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	07/17/2009

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