Mrs. Jennifer L. Mennicke Anderson
Occupational Therapist - Neurorehabilitation
317 Knutson Dr
Madison
, Wisconsin 53704-1133
Mrs. Jennifer L. Mennicke Anderson
Occupational Therapist - Neurorehabilitation
317 Knutson Dr
Madison
, Wisconsin 53704-1133
(608) 228-9341
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Jennifer L. Mennicke Anderson
- 317 Knutson Dr
- Madison, WI
- Zip : 53704-1133
- Phone : (608) 228-9341
Second Address
- Mrs. Jennifer L. Mennicke Anderson
- 317 Knutson Dr
- Madison, WI
- Zip : 53704-1133
- Phone : (608) 301-9378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3258-026 | WI |
National Provider Identifier
| NPI | 1831297613 |
|---|---|
| Provider Name | Mrs. Jennifer L. Mennicke Anderson |
| First Address | Madison, WI 53704-1133 |
| Second Address | Madison, WI 53704-1133 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 11/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.