Provider Demographics
NPI:1912633686
Name:SANER, JENNIFER LAURA (DR)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LAURA
Last Name:SANER
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 DEVONSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:WABAN
Mailing Address - State:MA
Mailing Address - Zip Code:02468-2213
Mailing Address - Country:US
Mailing Address - Phone:617-835-9861
Mailing Address - Fax:
Practice Address - Street 1:116 DEVONSHIRE RD
Practice Address - Street 2:
Practice Address - City:WABAN
Practice Address - State:MA
Practice Address - Zip Code:02468-2213
Practice Address - Country:US
Practice Address - Phone:617-835-9861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12670225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist