Individual
JENNIFER JEAN PITTERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BRIDGE CREEK LN, AUGUSTA, WI 54722-2603
(715) 286-2266
Mailing address
104 N HOUGHTON ST, MERRILLAN, WI 54754-9004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1546-27
WI
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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