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Contact Information

JENIFER L FURNESS, OTR, COF
2123 LILLIE AVE
DAVENPORT, IA52804-2040
 Phone: 563-343-0852
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotics/Prosthetics Fitter

225000000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENIFER L FURNESS · (Female)

NPI Number 1972622140
Status Active
Credentials OTR, COF
Entity Individual
Enumeration date 03/28/2007
Last updated 05/03/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 01130
  • IL License # 056.004970
  • IL Medicaid 264560645
  • KY Medicaid 7100120570
  • OH Medicaid 3053065
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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