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Mary Ognenoff, OTR

Occupational Therapist in West Bend, WI. Individual provider (NPI-1).

NPI number1003965500
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1003965500
Entity type
Individual (NPI-1)
Name
Mary Ognenoff
Credential
OTR
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 10, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist1760-026WIYes

Practice location

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Phone 262-677-6805 · Fax 262-677-6801

Mailing address

151 N German St
Mayville, WI 53050-1311

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