Individual
JENNIFER J DUPEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 346-5190
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070
WI STATE LIC #
WI
Enumeration date
05/11/2007
Last updated
07/08/2007
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