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Individual

JACK RYAN SPECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
N151 COUNTY ROAD T, BRODHEAD, WI 53520-9554
(608) 921-8668

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8493
WI

Other

Enumeration date
01/30/2024
Last updated
02/02/2024
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