Individual
JENNIFER MARCHERT-EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
W239N1812 ROCKWOOD DR STE 100, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1113
(262) 523-0310
(262) 532-9587
Mailing address
W239N1812 ROCKWOOD DR STE 100, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1113
(262) 523-0310
(262) 532-9587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2643
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40814400
—
WI
Enumeration date
06/29/2006
Last updated
11/15/2011
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