Provider Demographics
NPI:1053432435
Name:CADE, JENNIFER FRANCES (OTR L)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:FRANCES
Last Name:CADE
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:FRANCES
Other - Last Name:WADDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA L
Mailing Address - Street 1:227 TOWNSHIP ROAD 1353
Mailing Address - Street 2:
Mailing Address - City:CROWN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45623-8703
Mailing Address - Country:US
Mailing Address - Phone:740-886-7323
Mailing Address - Fax:
Practice Address - Street 1:101 13TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1653
Practice Address - Country:US
Practice Address - Phone:304-525-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1193225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist