Individual
JESSICA ESTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8274 E SAN RD, SOUTH RANGE, WI 54874-8621
(715) 398-3523
Mailing address
33324 STATE ROAD 35, DANBURY, WI 54830-9459
(651) 269-8415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5215
WI
Other
Enumeration date
03/10/2019
Last updated
03/10/2019
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