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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER RADKE, COTA

Active

JENNIFER RADKE, COTA is a Occupational Therapy Assistant healthcare provider located in MAYVILLE, Wisconsin. NPI 1194032383 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MAYVILLE, WI

Registration Details

NPI Number
1194032383
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2010 (15.94649956696 yrs)
Last Updated
Aug 6, 2013
License
4768 (WI)

Practice Information

Address
210 MARY ST
APT. 103
MAYVILLE, WI, 530501080
Browse WI providers · Browse ZIP 53050
Phone
7152182113
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MAYVILLE, WI

Name Credential NPI
MRS. ELIZABETH JEAN THRAMS COTA 1356554471
RACHEL WERNER COTA 1730430125
KAYLA MARIE PROM 1164918504
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.