Individual
TATIANA JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 E ALFRED ST, WEYAUWEGA, WI 54983-9024
(715) 281-8724
Mailing address
N3111 W SILVER LAKE DR, WAUPACA, WI 54981-9598
(715) 281-8724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7020
WI
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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