Individual
JODY GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8873 S OAK PARK DR APT 4, OAK CREEK, WI 53154-3819
(414) 573-2667
Mailing address
8873 S OAK PARK DR APT 4, OAK CREEK, WI 53154-3819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4843-027
WI
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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