Individual
MARY F VANDERVEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
2339 N 62ND ST, WAUWATOSA, WI 53213-1509
(414) 774-1864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
791-026
WI
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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