Individual
MARY JACLYN STREGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-7496
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6228-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077544
—
WI
Enumeration date
04/24/2018
Last updated
07/01/2021
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