Individual
ISABEL DETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(920) 946-9664
Mailing address
1918 E LAFAYETTE PL UNIT 312, MILWAUKEE, WI 53202-1396
(920) 946-9664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
859226
WI
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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