Individual
MRS. KAREN L WYSOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2753 COUNTY ROAD I, SAUKVILLE, WI 53080-1539
(262) 268-3890
Mailing address
2753 COUNTY ROAD I, SAUKVILLE, WI 53080-1539
(262) 268-3890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4664-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41041000
—
WI
Enumeration date
05/10/2007
Last updated
09/16/2010
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