Individual
JENNIFER LYNN GRAICHEN-HUETTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4145
Mailing address
N2283 HEAVENLY DR, GREENVILLE, WI 54942-9790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1432-27
WI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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