Individual
JENNIFER LYNN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
103 RIVER BEND RD, APT. 2, MADISON, WI 53713-4202
(262) 515-5120
Mailing address
103 RIVER BEND RD, APT. 2, MADISON, WI 53713-4202
(262) 515-5120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2058-027
WI
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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