Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jessika Rose Wildenberg

Individual provider Occupational Therapy Assistant · NPI 1831697895

Mrs. Jessika Rose Wildenberg is an Occupational Therapy Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
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Practice location Address checks out

1207 S Jackson St
Green Bay, WI 54301-3037
Phone: (920) 593-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4070050296 (WI)

Record details

NPI number1831697895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2018
Last updated in NPPESJanuary 24, 2018

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