Provider Demographics
NPI:1407411564
Name:PAPAIOANNOU, JENNA
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:PAPAIOANNOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:SMEYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:876 WEBER DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4637
Mailing Address - Country:US
Mailing Address - Phone:215-285-7563
Mailing Address - Fax:
Practice Address - Street 1:876 WEBER DR
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-4637
Practice Address - Country:US
Practice Address - Phone:215-285-7563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-04
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00754300225X00000X
PAOC015680225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist