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Search › Wisconsin › 390200000X

Sivanthan Pak, MOT, OTR/L

NPI 1912340555 · on the registry since 2013

Practice

Address
111 W Michigan St
Milwaukee, WI 53203
Phone
(360) 123-4567
Organisation at this address
Fortis Management Group Llc
Ehf Lake Country Snf Op Llc
Fortis Management Holdings, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-09

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