Individual
PHILIP JEFFREY MAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 550-1837
Mailing address
W176N7932 WILLOW POND DR UNIT 3, MENOMONEE FALLS, WI 53051-4314
(414) 484-9816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8589-26
WI
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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