Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1212 MEMORIAL DR, STE. 1, MANITOWOC, WI 54220
(920) 652-9554
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5436-26
WI
Other
Enumeration date
06/30/2014
Last updated
01/03/2025
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