Individual
MRS. PATRICIA A. MILIACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6800 N 76TH ST, MILWAUKEE, WI 53223-5002
(414) 353-5000
Mailing address
910 W FAIRY CHASM RD, BAYSIDE, WI 53217-1610
(414) 704-2955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1325-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40518000
—
WI
Enumeration date
05/07/2008
Last updated
11/11/2016
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