Individual
JESSICA ARIEL WANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
299 E RIVER RD, OSWEGO, NY 13126-6400
(315) 342-3166
Mailing address
5969 DUNSTAN CIR, CICERO, NY 13039-9099
(315) 877-3839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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