Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenna Bomgardner Petnuch, MS, OTR/L

Individual provider Occupational Therapist · NPI 1720331713

Jenna Bomgardner Petnuch, MS, OTR/L is an Occupational Therapist in Silver Spring, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3120 Gracefield Rd
Silver Spring, MD 20904-5810
Phone: (301) 572-8372
Fax: (301) 572-8415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 06880 (MD)

Record details

NPI number1720331713
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedOctober 16, 2012
Last updated in NPPESOctober 16, 2012

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