Individual
JESSICA MARIE TARISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
701 E MAIN ST, HART, MI 49420-1168
(231) 873-2148
Mailing address
701 E MAIN ST, HART, MI 49420-1168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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