Jamie Lynn Mosupye, O.T.

NPI #1013227537 in Green Bay, Wisconsin

Provider Information

NPI Number: 1013227537
Entity Type: Individual
Name: Jamie Lynn Mosupye, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Oct 18, 2010
Last Updated: Aug 21, 2023

Practice Location

Address: 744 S WEBSTER AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54301-3505
Phone: (920) 433-7823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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