Whalio Doctors

NPI 1013227537

Jamie Lynn Mosupye, OT

Practitioner Occupational Therapist Green Bay, WI

Practice location

Address
744 S Webster Ave, Green Bay, WI 54301-3505
Phone
(920) 433-7823
Fax
(920) 433-3651
Mailing address
PO Box 22487, Green Bay, WI 54305-2487

Registered specialties

Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 4825-026 (WI)

Registry record

NPI
1013227537
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Oct 2010
Record last updated
21 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.