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Individual

MS. SHARI MARIE PACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Mailing address
517 EAST NORTH STREET, DODGEVILLE, WI 53533
(608) 574-0216

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1700-027
WI

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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