Individual
MRS. BETTY MARIE ROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2270 WEST VOGEL AVE, MILWAUKEE, WI 53221
(414) 817-1183
Mailing address
2270 WEST VOGEL AVE, MILWAUKEE, WI 53221
(414) 817-1183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
898-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40687000
—
WI
Enumeration date
03/15/2010
Last updated
03/15/2010
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