Provider Demographics
NPI:1437296803
Name:BIGELOW, JENNIFER SCOTT (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SCOTT
Last Name:BIGELOW
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 BRIXTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-1724
Mailing Address - Country:US
Mailing Address - Phone:561-215-8659
Mailing Address - Fax:
Practice Address - Street 1:1039 BRIXTON BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1724
Practice Address - Country:US
Practice Address - Phone:561-215-8659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12496225X00000X
TN4006225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist