SCOTT WADE OLENICZAK

GREEN BAY, WI
NPI1740496132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  3259-026)
Enumeration Date2007-05-15
Last Update Date2019-10-29
Business Address
SCOTT WADE OLENICZAK
215 N WEBSTER AVE
GREEN BAY, WI 54301-4813
Phone number: 920-431-5588
Mailing Address
SCOTT WADE OLENICZAK
3446 EDINBURGH RD
GREEN BAY, WI 54311-7284
Phone number:
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