Individual
JORDAN BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 STRAWBERRY LN, WISCONSIN RAPIDS, WI 54494-2156
(262) 354-2613
Mailing address
1559 SERENITY LN, HARTFORD, WI 53027-8609
(262) 354-2613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8874-26
WI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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