Individual
SARA MICHELE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 ORRIN RD, PRESCOTT, WI 54021-1074
(715) 262-5661
Mailing address
604 GILL LN, NORTHFIELD, MN 55057-1204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
5703-27
WI
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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