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Individual

JEANNE COLE PANKA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1066
Mailing address
1838 HAYMARKET RD, WAUKESHA, WI 53189-7162
(262) 574-1133

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
768026
WI

Other

Enumeration date
05/15/2006
Last updated
07/08/2007
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