Barlow, Jennifer Louise

Barlow, Jennifer Louise is an individual health care provider with primary practice located at 1401 Churchill St , Waupaca WI 54981-2027. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Barlow, Jennifer Louise can be contacted via phone (715) 258-8131.

Contact Information

Primary practice address
1401 Churchill St Waupaca WI 54981-2027
Phone: (715) 258-8131
Fax: (715) 258-0179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 1632-027 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5159-26 Wisconsin

Profile Details

NPI number 1609089879
LBN Legal business name Barlow, Jennifer Louise
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Apr 3rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609089879 NPPES
Wisconsin MEDICAID 40847100

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