| NPI | 1326391616 |
|---|---|
| Former Name | JENNA MARIE SCHUELKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-02817) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2012022632) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2014-12-15 |