Individual
MRS. JENNIFER M CAREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
930 N 6TH ST, SHEBOYGAN, WI 53081-4150
(920) 458-2137
Mailing address
930 N 6TH ST, SHEBOYGAN, WI 53081-4150
(920) 458-2137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
806027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40900300
—
WI
01
—
806027
STATE LICENSING
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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