Individual
MRS. JANELLE CARISSA KLOSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13583
CA
225X00000X
Occupational Therapist
Primary
5201007200
MI
225X00000X
Occupational Therapist
OT00004506
WA
Other
Enumeration date
07/25/2008
Last updated
11/11/2024
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