ALEXIS MALAINA BLANK

RACINE, WI
NPI1508984816
Former NameALEXIS M JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056-007635)
Enumeration Date2007-03-26
Last Update Date2026-05-27
Business Address
ALEXIS MALAINA BLANK OTR L
3109 MOUNT PLEASANT ST
RACINE, WI 53404-1511
Phone number: 262-635-5600
Mailing Address
ALEXIS MALAINA BLANK OTR L
2616 N WISCONSIN ST
RACINE, WI 53402-4436
Phone number: 262-664-5349
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