Individual
HANNAH JEANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 W BENDER RD, GLENDALE, WI 53209-3802
(414) 288-8700
Mailing address
951 BARTLETT DR, OCONOMOWOC, WI 53066-3457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
655014
WI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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