Individual
MRS. ANNE MARIE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-1442
(262) 728-6693
Mailing address
221 LAKEVIEW DR, WHITEWATER, WI 53190-2216
(414) 510-2050
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1549-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41066000
—
WI
Enumeration date
06/17/2008
Last updated
06/17/2008
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