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Contact Information

JESSICA ANDERSON, OTR
1212 MEMORIAL DR
STE. 1
MANITOWOC, WI54220
 Phone: 920-652-9554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JESSICA ANDERSON · (Female)

NPI # 1336554195
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 06/30/2014
Last updated 01/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 5436-26
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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