Individual
CLARISSA JELINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
(920) 682-0314
Mailing address
1445 N 7TH ST, MANITOWOC, WI 54220-2011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
423200
WI
224Z00000X
Occupational Therapy Assistant
423200
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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