TIFFANY A JANISCH

LA CROSSE, WI
NPI1063574085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  1710-027)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
-- TIFFANY A JANISCH
2501 SHELBY RD
LA CROSSE, WI 54601-8037
Phone number: 608-788-5700
Mailing Address
-- TIFFANY A JANISCH
PO BOX 45
BANGOR, WI 54614-0045
Phone number: