NPI 1083542690

Jenny Marie Wiedmeyer, COTA

Practitioner Occupational Therapy Assistant Menasha, WI

Practice location

Address: 100 Main St STE 300, Menasha, WI 54952-3287
Phone: (920) 967-1400
Mailing address: W7230 Moonlight Dr, Greenville, WI 54942-8409

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5488-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1083542690
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2026
Record last updated: 12 May 2026

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.