Individual
MAEVE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W156N4881 PILGRIM RD, MENOMONEE FALLS, WI 53051-6920
(262) 599-8300
Mailing address
451 E RUSSELL AVE UNIT A, MILWAUKEE, WI 53207-2122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8137-26
WI
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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