Most Relevant Information
Provider Data
| NPI Number: | 1003054115 |
| Provider Name: | JESSICA ERIN ROETS OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0019X |
| Specialty: | Occupational Therapist |
| License Number: | 4720-26 |
Most Important Dates
| Enumeration Date: | 01/27/2009 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
1400 BELLINGER ST
EAU CLAIRE
WI
547035222
Practice Location Phone/Fax
| Phone: | 7158385222 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |