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Individual

MS. JENNIFER PAIGE STATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 772-9770
Mailing address
1214 CARDINAL CREST DR, SUN PRAIRIE, WI 53590-2470
(414) 426-0992

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5481-26
WI

Other

Enumeration date
05/23/2007
Last updated
05/24/2023
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