Individual
MRS. JENNIFER SUE KVALHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7879
Mailing address
605 DONNA ST, CHILTON, WI 53014-1500
(920) 979-1933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5262
WI
224Z00000X
Occupational Therapy Assistant
—
WI
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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