Individual
MICHELLE MICKEY BARNSTABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 385-6600
(414) 902-2516
Mailing address
12007 W CARPENTER AVE, GREENFIELD, WI 53228-3013
(414) 525-9721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2588-026
WI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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