Marciniak, Jacelyn Ann

Marciniak, Jacelyn Ann is an individual health care provider with primary practice located at 1519 60Th St , Kenosha WI 53140-3954. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Marciniak, Jacelyn Ann can be contacted via phone (262) 656-7500.

Contact Information

Primary practice address
1519 60Th St Kenosha WI 53140-3954
Phone: (262) 656-7500
Fax: (262) 656-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1104-019 Wisconsin

Profile Details

NPI number 1073839056
LBN Legal business name Marciniak, Jacelyn Ann
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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