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Individual

MRS. SANDRA LEE JONAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
9244 29TH AVE, KENOSHA, WI 53143-6602
(262) 694-0080
Mailing address
8101 57TH AVE, KENOSHA, WI 53142-4107
(262) 694-1901

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
394-26
WI

Other

Enumeration date
06/27/2010
Last updated
06/27/2010
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