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Individual

JENNIFER LEE RAU NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
243 KAUKAUNA ST, APT B., MENASHA, WI 54952-3021
(920) 731-6646

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1127027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41038100
WI
Enumeration date
05/20/2008
Last updated
04/04/2025
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