Individual provider · Type 1 NPI

Jessika Rose Wildenberg

Occupational Therapy Assistant · Green Bay, WI

NPI number 1831697895 Active

Practice location

1207 S Jackson St
Green Bay, WI 54301-3037

Mailing address

N5392 County Road Ee
Seymour, WI 54165-8364

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4070050296 (WI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1831697895

Jessika Rose Wildenberg's National Provider Identifier is 1831697895, issued on Jan 24, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 24, 2018.