MERCEDES LYNN ANTOLAK

SPARTA, WI
NPI1730885047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  8182-26)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MN  5989)
Enumeration Date2023-02-07
Last Update Date2023-08-25
Business Address
MERCEDES LYNN ANTOLAK OTR/L
310 WEST MAIN STREET
SPARTA, WI 54656-2170
Phone number: 608-758-0940
Mailing Address
MERCEDES LYNN ANTOLAK OTR/L
200 1ST STREET SW
ROCHESTER, MN 55905-4054
Phone number: 507-284-2511