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Contact Information

NICOLE JENKINS, OTR
715 CHURCH STREET
BLUFF DALE, TX76433
 Phone: 209-840-4155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NICOLE JENKINS · (Female)

NPI Number 1265077986
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 11/18/2019
Last updated 11/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 118064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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