Jennifer Radke, COTA

NPI #1194032383 in Mayville, Wisconsin

Provider Information

NPI Number
1194032383
Entity Type
Individual
Name
Jennifer Radke, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Sep 9, 2010
Last Updated
Aug 6, 2013

Practice Location

Address
210 MARY ST
Address 2
APT. 103
ZIP Code
53050-1080
Phone
(715) 218-2113

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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