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Search › Wisconsin › 225200000X

Jacelyn Marciniak, P.T.A

NPI 1073839056 · on the registry since 2010

Practice

Address
1519 60th St
Kenosha, WI 53140
Phone
(262) 656-7500
Fax
(262) 656-7515
Organisation at this address
Midway Manor Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin