Individual
MS. MARY KATHLEEN MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1030 S MONROE AVE, GREEN BAY, WI 54301-3206
(920) 435-0475
Mailing address
1030 S MONROE AVE, GREEN BAY, WI 54301-3206
(920) 435-0475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1318026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40527500
—
WI
Enumeration date
05/14/2008
Last updated
05/14/2008
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