Individual
SANDRA JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 524-6487
Mailing address
22818 STATE HWY 58, RICHLAND CENTER, WI 53581-6689
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
225X00000X
Occupational Therapist
Primary
968-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40705000
—
WI
Enumeration date
04/24/2007
Last updated
12/11/2023
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