Individual
MR. MICHAEL JASON MOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
830 E GENEVA ST, DELAVAN, WI 53115-1932
(262) 728-9164
(262) 728-9172
Mailing address
830 E GENEVA ST, DELAVAN, WI 53115-1932
(262) 728-9164
(262) 728-9172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5953-26
WI
Other
Enumeration date
10/12/2016
Last updated
12/12/2024
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