Individual
MARY J. FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
4848 S 76TH ST, SUITE 110, GREENFIELD, WI 53220-4361
(414) 282-5610
(414) 282-5601
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1064
WI
225XH1200X
Hand Occupational Therapist
1064-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801830351
—
WI
05
—
40871700
—
WI
Enumeration date
06/15/2006
Last updated
12/04/2019
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