JOSEPH FANTIN

MEQUON, WI
NPI1023854767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4013-26)
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
JOSEPH FANTIN OTR
11281 N LAKE SHORE DR
MEQUON, WI 53092-3566
Phone number: 262-402-8131
Mailing Address
JOSEPH FANTIN OTR
11281 N LAKE SHORE DR
MEQUON, WI 53092-3566
Phone number:
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