Individual
MRS. TERRI JAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
Mailing address
34 VIRGINIA TER, MADISON, WI 53726-5338
(608) 232-1442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2361-26
WI
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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