| Doctor Name: | JEANNE MARIE PRUSAK |
| NPI Number: | 1487843397 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 3180-026 |
| Business Practice Address: | 819 Ash St Spooner, WI - 548011201 |
| Business Phone Number: | 7156352111 |
| Business Fax Number: | |
| Mailing Address: | 5736 County Road X, WEBSTER |
| State: | WI |
| Postal Code: | 548939046 |
| Phone Number: | 7155660398 |
| Fax Number: | 7158664788 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 3180-026 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |