Selene E Blaszkowski, OTR/L
Occupational Therapist in Waukesha, WI. Individual provider (NPI-1).
NPI number1215574066
StatusActive
Last updated in NPPESOct 14, 2020
Details
- NPI
- 1215574066
- Entity type
- Individual (NPI-1)
- Name
- Selene E Blaszkowski
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2019
- Certification date
- Oct 14, 2020
- Last updated
- Oct 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6619-26 | WI | Yes |
Practice location
2951 Clearwater LnWaukesha, WI 53189-6845
Phone 262-501-8472
Mailing address
2951 Clearwater LnWaukesha, WI 53189-6845
Phone 262-501-8472
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