NPI 1184178279

Jenna Becker, COTA

Practitioner Occupational Therapy Assistant Appleton, WI

Practice location

Address: N9437 Sara Ln, Appleton, WI 54915-5206
Phone: (920) 277-0531

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5260-27 (WI)

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Registry record

NPI: 1184178279
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2016
Record last updated: 7 Aug 2016

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.