Provider Demographics
NPI:1568009942
Name:DIONNE, JANE FRANCES
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:FRANCES
Last Name:DIONNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 LEGEND HILL LN
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53189-8088
Mailing Address - Country:US
Mailing Address - Phone:262-880-4664
Mailing Address - Fax:
Practice Address - Street 1:1604 LEGEND HILL LN
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53189-8088
Practice Address - Country:US
Practice Address - Phone:262-880-4664
Practice Address - Fax:262-447-0850
Is Sole Proprietor?:No
Enumeration Date:2019-12-05
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI727-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist