Individual
JESSIE HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3113 SAEMANN AVE, SHEBOYGAN, WI 53081-1957
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8584-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100307371
—
WI
Enumeration date
11/25/2022
Last updated
05/15/2025
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