Individual
MARINA XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N 92ND ST, MILWAUKEE, WI 53222-2504
(414) 463-7570
Mailing address
1311 S 75TH ST, WEST ALLIS, WI 53214-3024
(414) 750-0606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7206-27
WI
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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