Most Relevant Information
Provider Data
| NPI Number: | 1003678053 |
| Provider Name: | SAMANTHA PALUCHNIAK MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5443-26 |
Most Important Dates
| Enumeration Date: | 01/25/2024 |
| Last Updated: | 01/25/2024 |
Provider Practice Location
1930 WISCONSIN AVE STE 31
GRAFTON
WI
530242632
Practice Location Phone/Fax
| Phone: | 2628465141 |
| Fax: |
Provider Mailing Location
211 W JUNIPER DR
GRAFTON
WI
530242235
Provider Mailing Phone/Fax
| Phone: | 6087512354 |
| Fax: |