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Individual

MRS. JENNY TERESA LEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2935 EAST AVE S, LA CROSSE, WI 54601-7243
(608) 787-5572
(608) 787-7775
Mailing address
2935 EAST AVE S, LA CROSSE, WI 54601-7243
(608) 787-5572
(608) 787-7775

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3882-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40854000
WI
Enumeration date
04/26/2007
Last updated
07/09/2007
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