Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Sue Fanning, MSOTR/L

Individual provider Pediatric Occupational Therapist · NPI 1700133428

Jennifer Sue Fanning, MSOTR/L is a Pediatric Occupational Therapist in Norfolk, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1500 Koenigstein
Norfolk, NE 68701
Phone: (402) 644-7396
Fax: (402) 644-7394
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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 741 (NE)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 741 (NE)

Record details

NPI number1700133428
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedAugust 13, 2012
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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