Individual
MRS. JACLYN ANN SEEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
Mailing address
N6765 SMITH RD, OGDENSBURG, WI 54962-9775
(920) 244-7537
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1976-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41040500
—
WI
Enumeration date
11/07/2008
Last updated
11/07/2008
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