person
Sivanthan Pak, MOT,OTR/L
Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin
NPI 1912340555

Sivanthan Pak is a Student in an Organized Health Care Education/Training Program based in Milwaukee, WI. Sivanthan Pak practices in Milwaukee, WI and has the professional credentials of MOT,OTR/L. The NPI Number for Sivanthan Pak is 1912340555 and holds a License No. (Wisconsin).

The current practice location address for Sivanthan Pak is 111 W Michigan St, Milwaukee, WI and can be reached out via phone at 360-123-4567.

Location: 111 W Michigan St, Milwaukee, WI, 53203-2903
person
Provider Profile Details
NPI Number
1912340555
Provider Name
Sivanthan Pak
Credential
MOT,OTR/L
Provider Entity Type
Individual
Gender
Female
Address
111 W Michigan St, Milwaukee, WI, 53203-2903
Phone Number
360-123-4567
Fax Number
Provider Enumeration Date
04/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 W Michigan St
City
State
Zip
53203-2903
Phone Number
360-123-4567
Fax Number
person
Provider Business Mailing Address Details
Address
111 W Michigan St
City
State
Zip
53203-2903
Phone Number
360-123-4567
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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