Mercedes Marie Marrero
Occupational Therapy Assistant in Kewaunee, WI. Individual provider (NPI-1).
NPI number1265199863
StatusActive
Last updated in NPPESNov 18, 2021
Details
- NPI
- 1265199863
- Entity type
- Individual (NPI-1)
- Name
- Mercedes Marie Marrero
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 16, 2021
- Last updated
- Nov 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5753-27 | WI | Yes |
Practice location
1308 Lincoln StKewaunee, WI 54216-1606
Phone 920-388-4111
Mailing address
1308 Lincoln StKewaunee, WI 54216-1606
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