Individual
VICKI J. MOILANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
(262) 251-7128
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1199
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40825800
—
WI
01
—
P00836833
RR MEDICARE
WI
Enumeration date
07/04/2006
Last updated
10/15/2023
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