Antolak, Mercedes Lynn
Antolak, Mercedes Lynn is an individual health care provider with primary practice located at 310 West Main Street , Sparta WI 54656-2170. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Antolak, Mercedes Lynn can be contacted via phone (608) 758-0940.Contact Information
Primary practice address
310 West Main Street
Sparta WI 54656-2170
Phone: (608) 758-0940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5989 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 8182-26 | Wisconsin |
Profile Details
| NPI number | 1730885047 |
|---|---|
| LBN Legal business name | Antolak, Mercedes Lynn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2023 |
| Last updated | Aug 25th, 2023 - about 2 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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