NPI 1679793012
Jennifer Etters Fendo, OTR
Practice location
- Address
- 218 S Main St Apartment B, North Wales, PA 19454-3410
- Phone
- (215) 616-2412
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1679793012
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Apr 2007
- Record last updated
- 8 Jul 2007
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.