Individual provider · Type 1 NPI

Sivanthan Pak, MOT, OTR/L

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1912340555 Active · reactivated Jan 9, 2014

Practice location

111 W Michigan St
Milwaukee, WI 53203-2903

Call (360) 123-4567 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1912340555

Sivanthan Pak, MOT, OTR/L's National Provider Identifier is 1912340555, issued on Apr 13, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 9, 2014.