Individual
THERESA RITA MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1650 TRI PARK WAY, APPLETON, WI 54914-1652
(920) 830-6697
Mailing address
N2598 STATE ROAD 47, APPLETON, WI 54913-9731
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4880026
WI
Other
Enumeration date
06/30/2010
Last updated
12/22/2010
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