Individual
JACINTA MARY TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5400
Mailing address
400 EAST THIRD STREET, SSB-5, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105722
MN
Other
Enumeration date
08/09/2016
Last updated
02/09/2021
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