Individual
MRS. SARA BETH GRESBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7878 N 76TH ST, MILWAUKEE, WI 53223-3914
(414) 352-3100
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
405426
WI
225X00000X
Occupational Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41036000
—
WI
Enumeration date
04/19/2006
Last updated
07/11/2007
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