Individual
CAROLINE IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6263 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 351-0543
Mailing address
833 N 15TH ST APT 16, MILWAUKEE, WI 53233-1746
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
509149
WI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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