Individual
MRS. EMILY MELISSA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
HWYS. 50 AND 67, N2950 STATE RD. 67, LAKE GENEVA, WI 53147
(262) 245-0535
Mailing address
61 ORCHARD ST, WILLIAMS BAY, WI 53191-9708
(262) 374-1849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8204-26
WI
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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