Mantz, Jennifer

Mantz, Jennifer is an individual health care provider with primary practice located at 3150 Shawnee Dr , Winchester VA 22601-4208. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mantz, Jennifer can be contacted via phone (405) 420-2005.

Contact Information

Primary practice address
3150 Shawnee Dr Winchester VA 22601-4208
Phone: (405) 420-2005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003191 Virginia

Profile Details

NPI number 1568676187
LBN Legal business name Mantz, Jennifer
Credentials MS,OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Nov 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568676187 NPPES
Virginia MEDICAID 004979907

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