Individual
MS. DEBRA K VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-8500
(262) 250-1858
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 251-8500
(262) 250-1858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
937-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40634700
—
WI
Enumeration date
04/14/2008
Last updated
01/30/2023
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