Individual
JENNIFER E NIEUWENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
(999) 999-9999
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5513
WI
Other
Enumeration date
12/08/2017
Last updated
03/17/2018
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