Individual
JENNIFER BAST HELENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
422 3RD ST W, SUITE 135, ASHLAND, WI 54806-1573
(715) 682-0633
(715) 682-0736
Mailing address
422 3RD ST W, SUITE 135, ASHLAND, WI 54806-1573
(715) 682-0633
(715) 682-0736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1066-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40889700
—
WI
Enumeration date
04/15/2008
Last updated
12/20/2011
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