Individual
JACK REGINALD WENDELBERGER-DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 HIGH AVE W, OSKALOOSA, IA 52577-1944
(641) 673-7032
Mailing address
206 E 28TH ST S, NEWTON, IA 50208-2712
(414) 881-6058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
127807
IA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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