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Individual

SIERRA R MILOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5477-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097538
WI
Enumeration date
02/20/2020
Last updated
02/23/2026
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