IndividualActive
Adriana Marciniak, OTR/L
NPI 1295406031 · Occupational Therapist · Kenosha, WI
Provider details
- NPI number
- 1295406031
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 458459 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
7610 Pershing Blvd
Kenosha, WI 53142-4318
Phone: (262) 948-3600
Approximate (ZIP-level) locationGet directions
Mailing address
10400 75th St
Kenosha, WI 53142-8323
Registry dates
- Enumerated
- 2021-09-22
- Last updated
- 2021-09-22
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.