Individual
JARRETT WOLSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1095 PINGREE RD STE 208&209, CRYSTAL LAKE, IL 60014-1725
(847) 458-8890
Mailing address
1095 PINGREE RD STE 208&209, CRYSTAL LAKE, IL 60014-1725
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056012112
IL
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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