Individual
JENNIFER A WIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
151 N SUNRISE AVE, ROSEVILLE, CA 95661-2924
(916) 771-8255
Mailing address
151 NORTH SUNRISE AVA SUITE 1105, ROSEVILLE, CA 95661
(916) 771-8255
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4903
CA
Other
Enumeration date
10/22/2009
Last updated
11/17/2016
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