Most Relevant Information
Provider Data
NPI Number: | 1003242157 |
Provider Name: | JENNIFER DANIELLE PAPENFUSE OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 0119004441 |
Most Important Dates
Enumeration Date: | 09/20/2013 |
Last Updated: | 09/20/2013 |
Provider Practice Location
5120 MASON PARK DR
ROANOKE
VA
240192722
Practice Location Phone/Fax
Phone: | 5405567776 |
Fax: |
Provider Mailing Location
5120 MASON PARK DR
ROANOKE
VA
240192722
Provider Mailing Phone/Fax
Phone: | 5405567776 |
Fax: |