Provider Demographics
NPI:1346858974
Name:JENNIFER SENECAL OCCUPATIONAL THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:JENNIFER SENECAL OCCUPATIONAL THERAPY SERVICES LLC
Other - Org Name:PROCESS & PATH OCCUPATIONAL THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SENECAL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:773-294-0087
Mailing Address - Street 1:2115 DARROW AVE APT D
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3067
Mailing Address - Country:US
Mailing Address - Phone:773-294-0087
Mailing Address - Fax:
Practice Address - Street 1:2115 DARROW AVE APT D
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3067
Practice Address - Country:US
Practice Address - Phone:773-294-0087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty