Individual
JENNIFER WEISBRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(608) 312-1735
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2701-26
WI
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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