Provider Demographics
NPI:1669788683
Name:WHITE, JENNIFER SZENASI (OT R)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SZENASI
Last Name:WHITE
Suffix:
Gender:F
Credentials:OT R
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:SZENASI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:7820 ELKHORN MOUNTAIN TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-6406
Mailing Address - Country:US
Mailing Address - Phone:512-789-1688
Mailing Address - Fax:
Practice Address - Street 1:310 CHISHOLM TRL
Practice Address - Street 2:#119
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:512-248-9998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109635225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist