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Individual
MRS. TINA LOUISE SOWINSKI
Active
Individual
MRS. TINA LOUISE SOWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4299-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0604410001
DMERC
WI
05
—
1922101229
—
WI
05
—
40892600
—
WI
Enumeration date
09/06/2006
Last updated
09/20/2011
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