Individual
MRS. JENNIFER L. MENNICKE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9378
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 228-9341
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
3258-026
WI
Other
Enumeration date
09/20/2006
Last updated
01/11/2022
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