Individual
MS. NANCY GENTZ CIPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5308
(888) 389-9030
(888) 389-9031
Mailing address
6128 FOUR MILE RD, RACINE, WI 53402
(262) 639-0143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3793026
WI
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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