Individual
SELENE E BLASZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2951 CLEARWATER LN, WAUKESHA, WI 53189-6845
(262) 501-8472
Mailing address
2951 CLEARWATER LN, WAUKESHA, WI 53189-6845
(262) 501-8472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6619-26
WI
Other
Enumeration date
11/27/2019
Last updated
10/14/2020
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