Individual
MARGARET M LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-4039
Mailing address
2727 W MITCHELL ST, MILWAUKEE, WI 53215-2259
(414) 383-4039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
682-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40687500
—
WI
Enumeration date
05/14/2008
Last updated
05/14/2008
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