Individual
MS. JANE LYNN HIPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
Mailing address
12044 W WEBSTER ST, EVANSVILLE, WI 53536-8940
(608) 873-5651
(608) 873-5748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
735-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40820700
—
WI
Enumeration date
04/26/2007
Last updated
07/09/2007
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