Theresa Anderson OTR

NPI 1275870784 - Occupational Therapist - 225X00000X

NPI Details
NPI 1275870784
Gender Female
Enumeration Date 01/04/2013
Last Updated 01/04/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
8633 32ND AVE
KENOSHA WI, 53142-5187, US
Phone (262) 694-8800
Fax (262) 694-9125
Business Location
8633 32ND AVE
KENOSHA WI, 53142-5187, US
Phone (262) 694-8800
Fax (262) 694-9125
Toxanomy
Taxonomy Code 225X00000X
License State Wisconsin
License Number 5234-26
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According to our database, Ms. Theresa Anderson OTR NPI is 1275870784, taxonomy code is 225X00000X and license number is 5234-26, license state is located at Wisconsin. Theresa Anderson OTR physically located at 8633 32nd Ave, Kenosha WI, 53142-5187. NPI Number Theresa Anderson OTR has the Individual type.

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1275870784 NPI number is provided on an as is basis without warranty of any kind. 1275870784 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Anderson OTR are for informational purposes only.