Provider Demographics
NPI:1700015310
Name:PAPP, JENNIFER (MS, OTR/L, CEIS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PAPP
Suffix:
Gender:F
Credentials:MS, OTR/L, CEIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 DIX ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-6504
Mailing Address - Country:US
Mailing Address - Phone:617-852-4095
Mailing Address - Fax:
Practice Address - Street 1:23 DIX ST UNIT 2
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-6504
Practice Address - Country:US
Practice Address - Phone:617-852-4095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics