IndividualActive
Jennifer Main, OTR/L
NPI 1205619632 · Pediatric Occupational Therapist · Sparks, NV
Provider details
- NPI number
- 1205619632
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2955 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5855 Sonora Pass Dr
Sparks, NV 89436-1870
Phone: (925) 470-0437
Approximate (ZIP-level) locationGet directions
Mailing address
5855 Sonora Pass Dr
Sparks, NV 89436-1870
Registry dates
- Enumerated
- 2023-08-17
- Last updated
- 2023-08-17
- Certified
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.