Individual
JODI PINNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2512 NEW PINE DRIVE, OAKWOOD VILLA, ALTOONA, WI 54720
(715) 833-0400
Mailing address
2512 NEW PINE DR, ALTOONA, WI 54720-1378
(715) 833-0400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5064-27
WI
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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