Individual
EMILEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
246 N OLK ST, HORTONVILLE, WI 54944-8100
(920) 779-7921
Mailing address
246 N OLK ST, HORTONVILLE, WI 54944-8100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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