Individual
JENNA LYNN GOLLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1207 S JACKSON ST, GREEN BAY, WI 54301-3037
(920) 593-7000
Mailing address
707 FREDRICK CT APT 8, GREEN BAY, WI 54313-3414
(920) 639-2414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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