Individual
JENNA SUE KLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 ACORN LN, WEST SALEM, WI 54669-9269
(563) 608-5510
Mailing address
137 ACORN LN, WEST SALEM, WI 54669-9269
(563) 608-5510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
106364
MN
225X00000X
Occupational Therapist
Primary
6815-26
WI
Other
Enumeration date
09/18/2018
Last updated
09/19/2024
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