Individual
MRS. BARBARA M JENTGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-4341
Mailing address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-4341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2236-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41033800
—
WI
Enumeration date
07/07/2010
Last updated
07/07/2010
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