Individual
MRS. JANET M MANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(800) 439-7012
Mailing address
2651 VAN BEEK RD, GREEN BAY, WI 54311-5530
(920) 465-9067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
948-026
WI
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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