Individual
GREGORY A SKOLASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
454
WI
225XP0200X
Pediatric Occupational Therapist
Primary
454
WI
Other
Enumeration date
06/23/2009
Last updated
07/13/2009
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