Individual
MARY CARMEL JONES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1066
Mailing address
505 HAWTHORNE AVE, SOUTH MILWAUKEE, WI 53172-2210
(414) 570-0833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
395026
WI
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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