Individual provider · Type 1 NPI
Jennifer Etters Fendo, OTR
Specialist · North Wales, PA
NPI number
1679793012
Active
Practice location
218 S Main St, Apartment B
North Wales, PA 19454-3410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OC003930L (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in North Wales
About NPI 1679793012
Jennifer Etters Fendo, OTR's National Provider Identifier is 1679793012, issued on Apr 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Wales, PA. The record was last updated on Jul 8, 2007.