JENNA L TADYCH

SHEBOYGAN, WI
NPI1083126874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5381-27)
Enumeration Date2017-11-02
Last Update Date2017-11-02
Business Address
JENNA L TADYCH COTA
3129 MICHIGAN AVE
SHEBOYGAN, WI 53081-3062
Phone number: 920-459-4382
Mailing Address
JENNA L TADYCH COTA
2341 SKYLINE DR APT 2D
SHEBOYGAN, WI 53081-5491
Phone number: 906-221-7161