Individual
ALIZA H BUYARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4700
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54311-6519
(920) 288-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4553-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4553-026
WISCONSIN LICENSE
WI
Enumeration date
09/11/2007
Last updated
09/15/2011
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