Wittenauer, Jennifer

Wittenauer, Jennifer is an individual health care provider with primary practice located at 311 Ray St , Pleasanton CA 94566-6621. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Wittenauer, Jennifer can be contacted via phone (925) 399-5796.

Contact Information

Primary practice address
311 Ray St Pleasanton CA 94566-6621
Phone: (925) 399-5796
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X KY-R2392 Kentucky
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X KY-R2392 Kentucky

Profile Details

NPI number 1295867810
LBN Legal business name Wittenauer, Jennifer
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Oct 7th, 2021 - about 5 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 1295867810 NPPES
California Other CA-19193 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY LICENSE
California Other 1505 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY LICENSE

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