Individual
MRS. SHERRY LYNN JAGIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2000
(920) 531-2098
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5910
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
242-027
WI
Other
Enumeration date
09/16/2007
Last updated
09/16/2007
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