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Individual

DANICA MESINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8320
WI
225XP0200X
Pediatric Occupational Therapist
056.014224
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100244504
WI
Enumeration date
05/12/2022
Last updated
04/28/2025
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