NPI 1487299442
Jenna M Douglas, COTAL
Practice location
- Address
- 553 E Pattison Ave, Kenton, OH 43326-1440
- Phone
- (419) 302-1306
- Mailing address
- 339 E Maple St, North Canton, OH 44720-2593
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1487299442
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Nov 2019
- Record last updated
- 14 Nov 2019
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.