Individual
LEAH BLAZKOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8162-26
WI
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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