Individual
SHARON A WISNIESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3303 NORTHLAND DR, SUITE 214, AUSTIN, TX 78731-4945
(512) 619-0303
(512) 291-2666
Mailing address
12928 BLOOMFIELD HILLS LN, AUSTIN, TX 78732-2066
(512) 291-3452
(512) 535-6786
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
109863
TX
Other
Enumeration date
09/05/2008
Last updated
02/23/2011
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