Individual
THERESA PARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CHT, COMT
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913
(920) 730-8833
(920) 993-0726
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
(380) 993-0726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5321-26
WI
Other
Enumeration date
04/04/2013
Last updated
05/15/2018
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