Individual
MS. JENNIFER LYN LAZARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
501 N LAKE ST, PESHTIGO, WI 54157-1013
(715) 582-3906
(715) 582-3141
Mailing address
2119 SHERMAN ST, MARINETTE, WI 54143-2221
(608) 797-5186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5044-27
WI
224Z00000X
Occupational Therapy Assistant
5202007845
MI
224Z00000X
Occupational Therapy Assistant
—
WI
Other
Enumeration date
09/17/2015
Last updated
04/24/2023
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