Individual
DIANE M. FOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7304
Mailing address
2999 N MAYFAIR RD, SUITE 300, WAUWATOSA, WI 53222-4306
(414) 479-7304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3367
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00858751
RR MEDICARE
WI
Enumeration date
08/21/2009
Last updated
12/08/2021
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