Individual
JEFFREY WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
8619 S HOWELL AVE, OAK CREEK, WI 53154-2919
(414) 856-1888
(414) 727-5779
Mailing address
8619 S HOWELL AVE, OAK CREEK, WI 53154-2919
(414) 856-1888
(414) 727-5779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2061-026
WI
Other
Enumeration date
03/29/2007
Last updated
11/03/2015
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