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Individual

MARY WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
10233 W GREENFIELD AVE, MILWAUKEE, WI 53214-3911
(414) 791-0813
Mailing address
4036 N NEWHALL ST, SHOREWOOD, WI 53211-1938
(414) 964-7212

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1410-026
WI

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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