Individual
MRS. JENNIFER LYNN ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(192) 045-8833
(920) 458-6837
Mailing address
1100 STEENPORT LN, CHILTON, WI 53014-1619
(920) 418-3749
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4621-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41074300
—
WI
Enumeration date
08/28/2008
Last updated
08/28/2008
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