Individual
MRS. MICHELLE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6798
Mailing address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2223026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40882800
—
WI
Enumeration date
06/06/2006
Last updated
03/25/2014
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