Individual
APRIL MARKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, OTR/L
Contact information
Practice address
3109 MOUNT PLEASANT ST, RACINE, WI 53404-1511
(262) 635-5600
Mailing address
8073 S RIVER LN, FRANKLIN, WI 53132-7109
(773) 354-3556
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4598-26
WI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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