Jennifer Carroll Cunningham, MS, OTR/L
Occupational Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1982248381
StatusActive
Last updated in NPPESJan 8, 2021
Details
- NPI
- 1982248381
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Carroll Cunningham
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2019
- Certification date
- Jan 8, 2021
- Last updated
- Jan 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 023784 | NY | Yes |
| 225XP0200X | Occupational Therapist, Pediatrics | 023784 | NY |
Practice location
1825 Bath AveBrooklyn, NY 11214-4613
Phone 718-621-1614
Mailing address
4938 Annandale LnLittle Neck, NY 11362-1304
Phone 917-715-1988
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