Individual
MATTHEW PLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
W178N9201 WATER TOWER PL, MENOMONEE FALLS, WI 53051-8029
(262) 532-7240
Mailing address
W178N9201 WATER TOWER PL, MENOMONEE FALLS, WI 53051-8029
(262) 532-7240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3774
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40883000
—
WI
Enumeration date
04/18/2006
Last updated
09/15/2010
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