Individual
JAMIE DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
Mailing address
2523 PICK DR, GLENVIEW, IL 60025-4701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
8351-26
WI
Other
Enumeration date
12/06/2019
Last updated
07/26/2023
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