Individual
JOY LUCILLE DES JARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7293
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1782-27
WI
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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