Individual
MS. MARY CLARE MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, M.S.
Contact information
Practice address
W3675 SUNNY RD, EDEN, WI 53019-1259
(920) 602-0478
Mailing address
W3675 SUNNY RD, EDEN, WI 53019-1259
(920) 602-0478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
54-026
WI
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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