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Individual

MRS. JAMIE JEAN RYMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(847) 313-5952
Mailing address
3124 CUTTER CT, OSHKOSH, WI 54904-9108
(920) 312-5046

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003582
IL
224Z00000X
Occupational Therapy Assistant
Primary
5041-27
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100041007
WI
Enumeration date
07/11/2013
Last updated
12/06/2016
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