Individual
JENELL HANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 237-2164
Mailing address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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