Individual
SARAH E WESOLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
595 CTY TRUNK R, DENMARK, WI 54208
(920) 863-2005
Mailing address
595 CTY TRUNK R, DENMARK, WI 54208
(920) 863-2005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3268
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3268
LICENSE
WI
Enumeration date
08/24/2006
Last updated
03/14/2012
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