Individual
MACY SUE JACKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1041 HILL ST, WISCONSIN RAPIDS, WI 54494-5202
(715) 424-8500
(715) 424-8502
Mailing address
1041 HILL ST, WISCONSIN RAPIDS, WI 54494-5202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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