Individual
MICHELLE ALEXANDRA DIMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 845-2100
(608) 845-2101
Mailing address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 845-2100
(608) 845-2101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3776-26
WI
Other
Enumeration date
12/07/2011
Last updated
06/12/2012
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