NPI 1083126874

Jenna L Tadych, COTA

Practitioner Occupational Therapy Assistant Sheboygan, WI

Practice location

Address: 3129 Michigan Ave, Sheboygan, WI 53081-3062
Phone: (920) 459-4382
Mailing address: 2341 Skyline Dr APT 2d, Sheboygan, WI 53081-5491

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5381-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1083126874
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2017
Record last updated: 2 Nov 2017

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.