Individual
MRS. MARY BETH WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
CITY VIEW NURSING HOME, 3030 CITY VIEW DRIVE, MADISON, WI 53718
(608) 242-5020
Mailing address
802 DRUMLIN DR, OREGON, WI 53575-3815
(608) 835-1708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1629-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41047000
—
WI
Enumeration date
05/17/2007
Last updated
07/09/2007
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