MS. Jo L Poudrier, OT

NPI #1972718443 in Sparta, Wisconsin

Provider Information

NPI Number: 1972718443
Entity Type: Individual
Name: MS. Jo L Poudrier, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: May 10, 2007
Last Updated: Sep 28, 2020

Practice Location

Address: 310 W MAIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2170
Phone: (608) 366-5167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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