NPI 1164678025

Jennifer Ann Kieninger, COTA

Practitioner Occupational Therapy Assistant South Bend, IN

Practice location

Address: 52654 Ironwood Rd, South Bend, IN 46635-1123
Phone: (574) 277-8710

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32001611A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1164678025
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2008
Record last updated: 12 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.