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Contact Information

COLLEEN JIMENEZ
4065 N 35TH STREET
MILWAUKEE, WI53216
 Phone: 414-445-9180
 Fax: 414-445-5995
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for COLLEEN JIMENEZ · (Female)

NPI Number 1174631220
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 368027
  • WI Medicaid 4065100
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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