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Individual

MS. JANET MARIE SOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-4039
(414) 383-3866
Mailing address
7375 S LENOX AVE, OAK CREEK, WI 53154-2227
(414) 571-1602

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
512-027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18009479627
WI
Enumeration date
05/12/2007
Last updated
07/08/2007
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