Individual
JAMIE LYNN VACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1604
(262) 687-7577
Mailing address
10180 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
890726
WI
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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