Individual
DEREK JOHN CIECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4065 N 35TH ST, MILWAUKEE, WI 53216-1705
(414) 445-9180
(414) 445-5995
Mailing address
1744 N FARWELL AVE, MILWAUKEE, WI 53202-1806
(414) 225-4460
(414) 225-4475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
663126
WI
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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