Individual provider · Type 1 NPI

Marjorie Ann Jergentz-Stout, B.S.

Recreation Therapist · Palo Alto, CA

NPI number 1902994411 Active

Practice location

3801 Miranda Ave, (11K Pad)
Palo Alto, CA 94304-1207

Call (650) 493-5000 Map

Fax (650) 849-0265

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1902994411

Marjorie Ann Jergentz-Stout, B.S.'s National Provider Identifier is 1902994411, issued on Oct 10, 2006. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 8, 2007.