Provider Demographics
NPI:1184015869
Name:SCHLENK, JENNIFER (MS, OT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:SCHLENK
Suffix:
Gender:F
Credentials:MS, OT
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:COLLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OT
Mailing Address - Street 1:5791 SW BALD EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-8859
Mailing Address - Country:US
Mailing Address - Phone:201-240-1821
Mailing Address - Fax:
Practice Address - Street 1:5791 SW BALD EAGLE DR
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-8859
Practice Address - Country:US
Practice Address - Phone:201-240-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00390300225X00000X
FL19721225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist