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Theresa Anderson, OTR

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

NPI number1275870784
StatusActive
Last updated in NPPESJan 4, 2013

Details

NPI
1275870784
Entity type
Individual (NPI-1)
Name
Ms. Theresa Anderson
Credential
OTR
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2013
Last updated
Jan 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5234-26WIYes

Practice location

8633 32nd Ave
Kenosha, WI 53142-5187

Phone 262-694-8800 · Fax 262-694-9125

Mailing address

8633 32nd Ave
Kenosha, WI 53142-5187

Phone 262-694-8800 · Fax 262-694-9125

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