Individual
MERCEDES LYNN ANTOLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
310 WEST MAIN STREET, SPARTA, WI 54656-2170
(608) 758-0940
Mailing address
200 1ST STREET SW, ROCHESTER, MN 55905-4054
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5989
MN
225X00000X
Occupational Therapist
Primary
8182-26
WI
Other
Enumeration date
02/07/2023
Last updated
08/25/2023
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