Individual
MRS. ELIZABETH JANE SHELTON-ZIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1300 W SILVER SPRING AVE, GLENDALE, WI 53209
(414) 228-8120
Mailing address
1545 PARKVIEW LN, PORT WASHINGTON, WI 53074-1133
(262) 284-1784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
781026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781026
WISCONSIN OCCUPATIONAL THERAPY LISCENSE NUMBER
WI
Enumeration date
06/03/2008
Last updated
06/03/2008
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