Individual
ANNE FLEMMING-COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR, CLM
Contact information
Practice address
1461 W MAIN ST, WHITEWATER, WI 53190-1568
(262) 473-5599
Mailing address
1461 W MAIN ST, WHITEWATER, WI 53190-1568
(262) 473-5599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3881-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41030800
—
WI
Enumeration date
02/08/2007
Last updated
07/08/2007
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