Individual
LORI MARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8534 W MILL RD, MILWAUKEE, WI 53225-1934
(414) 358-2090
Mailing address
8534 W MILL RD, MILWAUKEE, WI 53225-1934
(414) 358-2090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5271
WI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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