Individual
TANYA SCHICKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
444 HIGHLAND DR, KOHLER, WI 53044-1515
(920) 457-4441
(920) 459-1666
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4820-27
WI
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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