Mercedes Lynn Antolak, OTR/L

NPI #1730885047 in Sparta, Wisconsin

Provider Information

NPI Number: 1730885047
Entity Type: Individual
Name: Mercedes Lynn Antolak, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Feb 7, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 310 WEST MAIN STREET
City: Sparta
State: Wisconsin
ZIP Code: 54656-2170
Phone: (608) 758-0940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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