Individual
JENNIFER ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L, ATC
Contact information
Practice address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3462
(414) 955-1000
(414) 955-0183
Mailing address
1155 N MAYFAIR RD, MILWAUKEE, WI 53226-3462
(414) 955-1000
(414) 955-0183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6033-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669913034
—
WI
Enumeration date
03/17/2017
Last updated
03/17/2018
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