Individual
MRS. WENDY ANN MIKLASZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1205 LANCELOT LN, RACINE, WI 53406-2428
(262) 939-6888
(262) 878-2000
Mailing address
1205 LANCELOT LN, RACINE, WI 53406-2428
(262) 886-2552
(262) 878-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3783-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4088-2900
—
WI
Enumeration date
08/28/2007
Last updated
08/28/2007
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