Individual
MRS. JESSICA JO VAN SCHYNDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
900 MATTHEW LN, KAUKAUNA, WI 54130-3889
(920) 470-5353
Mailing address
900 MATTHEW LN, KAUKAUNA, WI 54130-3889
(920) 470-5353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4677-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992939698
—
WI
Enumeration date
05/08/2009
Last updated
11/26/2012
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