Individual
MARY ELLEN REDLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15425 OAK LN, BROOKFIELD, WI 53005-2966
(262) 790-2665
Mailing address
15425 OAK LN, BROOKFIELD, WI 53005-2966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
39-027
WI
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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