Radke, Jennifer

Radke, Jennifer is an individual health care provider with primary practice located at 210 Mary St Apt. 103, Mayville WI 53050-1080. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Radke, Jennifer can be contacted via phone (715) 218-2113.

Contact Information

Primary practice address
210 Mary St Apt. 103 Mayville WI 53050-1080
Phone: (715) 218-2113
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 4768 Wisconsin

Profile Details

NPI number 1194032383
LBN Legal business name Radke, Jennifer
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Aug 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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