Individual
MRS. CARLA J MENTINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2520
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4548-026
WI
Other
Enumeration date
06/09/2008
Last updated
01/14/2009
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