Individual
CALLIE J. JAROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-010621
IL
225X00000X
Occupational Therapist
Primary
6064-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066540
—
WI
Enumeration date
05/21/2014
Last updated
10/31/2023
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