Individual
JANELL MARIE NISKANEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MAPLE RIDGE RD, NEGAUNEE, MI 49866
(906) 458-1080
Mailing address
3 MAPLE RIDGE RD, NEGAUNEE, MI 49866
(906) 458-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001183
MI
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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