Individual
MIRANDA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-9211
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8077-26
WI
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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