Provider Demographics
NPI:1396273108
Name:SABO-BUNCH, JENNIFER L (OTR/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:SABO-BUNCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:SABO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:626 ELEANORA DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2734
Mailing Address - Country:US
Mailing Address - Phone:330-958-4559
Mailing Address - Fax:
Practice Address - Street 1:3557 EMBASSY PKWY
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-8358
Practice Address - Country:US
Practice Address - Phone:330-670-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT009759225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist