Individual
JOANNE MARIE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2961 SAINT ANTHONY DR, GREEN BAY, WI 54311-5860
(920) 468-0861
(920) 569-1566
Mailing address
2961 SAINT ANTHONY DR, GREEN BAY, WI 54311-5860
(920) 468-0861
(920) 569-1566
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204527
WI
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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