Individual
MRS. TERESE G FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3540 S 111TH ST, GREENFIELD, WI 53228-1104
(414) 545-0782
Mailing address
3540 S 111TH ST, GREENFIELD, WI 53228-1104
(414) 545-0782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
90-27
WI
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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