SearchWisconsinOccupational Therapy Assistant

Jerry Smith

NPI 1578099131 · on the registry since 2017 · sole proprietor

Practice

Address
2125 N Sherri Lin Ct Apt G
Appleton, WI 54914
Phone
(920) 915-6832

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin