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Individual

JEANNE PLUNKETT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6083 WHITE BIRCH DR, LAND O LAKES, WI 54540-9549
(715) 617-6216
(715) 547-3334
Mailing address
6083 WHITE BIRCH DR, LAND O LAKES, WI 54540-9549
(715) 617-6216
(715) 547-3334

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1516-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40677900
WI
Enumeration date
06/03/2006
Last updated
07/08/2007
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