Provider Demographics
NPI:1427252956
Name:CALLENDER-WRIGHT, JENNIFER ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:CALLENDER-WRIGHT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANN
Other - Last Name:CALLENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:TRIUMPH REHABILITATION, INC.
Mailing Address - Street 2:P.O. BOX 1708
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48347-1708
Mailing Address - Country:US
Mailing Address - Phone:269-321-0929
Mailing Address - Fax:
Practice Address - Street 1:7508 M E CAD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4281
Practice Address - Country:US
Practice Address - Phone:248-922-9200
Practice Address - Fax:586-207-1862
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005089225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist