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NPI Code Detail

MEDICARE: JESSICA M BUENING OTR/L

MEDICARE: JESSICA M BUENING 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 Therapist

General Provider Information

NPI Number : 1790554517
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA M BUENING OTR/L
Provider Business Mailing Address
First Line : 1436 HAVENCREST CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-3841
Country : US
Telephone Number : 419-575-8423
Fax Number :
Provider Business Practice Location Address
First Line : 4590 KNIGHTSBRIDGE BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4327
Country : US
Telephone Number : 614-451-6793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2023
Last Update Date : 02/03/2025

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Directions to “ JESSICA M BUENING OTR/L” Practice Location

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