Individual
JENNIFER DEPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
316 E 14TH ST, KAUKAUNA, WI 54130-3304
(920) 766-6020
Mailing address
2104 HICKORY LN, NEW HOLSTEIN, WI 53061-1502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5448-26
WI
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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