Individual
JACEY JO WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 SUNRISE DR STE B, SAINT PETER, MN 56082-1203
(507) 935-3573
Mailing address
830 SUNRISE DR STE B, SAINT PETER, MN 56082-1203
(507) 935-3573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106966
MN
225XP0200X
Pediatric Occupational Therapist
5937
MN
Other
Enumeration date
06/30/2022
Last updated
07/01/2025
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