JORDAN CHINGO

DE PERE, WI
NPI1316305790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: WI  5832-26)
Enumeration Date2016-02-01
Last Update Date2024-05-23
Business Address
JORDAN CHINGO OTR
1686 EISENHOWER RD
DE PERE, WI 54115-8145
Phone number: 920-496-4700
Mailing Address
JORDAN CHINGO OTR
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700