Individual
SALLY SMIGIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 TRI PARK WAY, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3543
TN
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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