Individual
JENELLE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
407 S MAIN ST, SUITE 302, VIROQUA, WI 54665-2100
(608) 637-4385
Mailing address
407 S MAIN ST, SUITE 302, VIROQUA, WI 54665-2100
(608) 637-4385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3963-26
WI
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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