Individual
MRS. JANELLE JOY SMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5353
(715) 463-2423
Mailing address
23098 SMESTAD RD, GRANTSBURG, WI 54840-9002
(715) 463-3274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2817-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41042200
—
WI
Enumeration date
03/23/2007
Last updated
07/09/2007
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