Individual
NICOLE LYNN ZGANJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4604
(414) 607-4120
(414) 607-4527
Mailing address
8520 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4604
(414) 607-4120
(414) 607-4527
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1978027
WI
Other
Enumeration date
08/11/2009
Last updated
08/12/2009
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