Individual
MISS MARISA CAPOBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1320 S GREEN BAY RD # 3700, MOUNT PLEASANT, WI 53406-4402
(262) 886-3431
Mailing address
4822 41ST ST, KENOSHA, WI 53144-1824
(262) 515-6098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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