Individual
JENNA DIERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-3998
(414) 966-2132
Mailing address
252 TIMBLIN DR APT 7, KEWASKUM, WI 53040-9174
(920) 980-4870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5612-26
WI
Other
Enumeration date
02/11/2015
Last updated
02/18/2025
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