Individual
EMILY JOLLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
411 PRAIRIE HEIGHTS DR STE 101, VERONA, WI 53593-2238
(608) 556-6120
Mailing address
720 E GORHAM ST APT 203, MADISON, WI 53703-1589
(912) 988-1526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT006818
GA
225XP0200X
Pediatric Occupational Therapist
Primary
6776-26
WI
Other
Enumeration date
08/30/2017
Last updated
09/10/2020
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