Individual
MRS. DEBRA LYNN PROX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2130 CONTINENTAL DR, WEST BEND, WI 53095-7904
(262) 338-0092
Mailing address
W300N8731 COUNTY RD E, HARTLAND, WI 53029-9512
(262) 966-2071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2562-26
WI
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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