Individual
JESSICA ANN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(126) 272-3496
Mailing address
645 N CHURCH ST, ELKHORN, WI 53121-2204
(126) 272-3496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5389-27
WI
Other
Enumeration date
11/14/2017
Last updated
11/06/2024
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