Individual
LISA MILCZARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(855) 222-2812
Mailing address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
(855) 222-2812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5249-27
WI
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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