Jessica Anderson, OTR
Occupational Therapist in Manitowoc, WI. Individual provider (NPI-1).
NPI number1336554195
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1336554195
- Entity type
- Individual (NPI-1)
- Name
- Jessica Anderson
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2014
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5436-26 | WI | Yes |
Practice location
1212 Memorial DrSte. 1
Manitowoc, WI 54220
Phone 920-652-9554
Mailing address
2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
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