Jeanne Marie Prusak, OTR/L
Occupational Therapist in Spooner, WI. Individual provider (NPI-1).
NPI number1487843397
StatusActive
Last updated in NPPESFeb 9, 2017
Details
- NPI
- 1487843397
- Entity type
- Individual (NPI-1)
- Name
- Jeanne Marie Prusak
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2007
- Last updated
- Feb 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 3180-026 | WI | Yes |
| 225XH1200X | Occupational Therapist, Hand | 3180-026 | WI |
Practice location
1280 Chandler DriveSpooner, WI 54801-1201
Phone 715-635-2111
Mailing address
5736 County Road XWebster, WI 54893-9046
Phone 715-566-0398 · Fax 715-866-4788
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All 8 Occupational Therapist providers in Spooner · All 154 providers in Spooner
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