Individual
MR. GERALD ALAN PERSIKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
(414) 282-2051
Mailing address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
(414) 282-2051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4789-27
WI
Other
Enumeration date
02/06/2008
Last updated
10/13/2013
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