Individual
JENNIFER LYNN FRAFJORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
650 PEARL ST, RIB LAKE, WI 54470-9322
(715) 427-5297
Mailing address
N5858 NELSON RD, GLEN FLORA, WI 54526-9673
(715) 322-5664
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4828-27
WI
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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