SearchWisconsinOccupational Therapy Assistant

Jacob Sobczak, COTA

NPI 1679912794 · on the registry since 2013 · sole proprietor

Practice

Address
6263 N Green Bay Ave
Milwaukee, WI 53209
Phone
(414) 351-0543
Clinicians at this address
6

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-21

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