Individual
MRS. JEAN MARIE WASILOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-5181
Mailing address
3221 E 51ST ST # EAST, MINNEAPOLIS, MN 55417-1442
(612) 721-1895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100323
MN
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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