| NPI | 1962779116 |
|---|---|
| Former Name | NICOLE ELIZABETH GLISCZINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 3773-026) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification |
| 225XG0600X Occupational Therapist Gerontology | |
| 225XM0800X Occupational Therapist Mental Health | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2020-05-19 |