Individual
MR. JACK WILLIAM PAMPERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3021 PATTON DR, PLOVER, WI 54467-2642
(715) 544-2322
Mailing address
924 SONGBIRD LN UNIT J5, STEVENS POINT, WI 54482-8652
(920) 841-1543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6584-26
WI
Other
Enumeration date
06/07/2020
Last updated
06/07/2020
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