Individual
MRS. KERRY JEAN DEMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5218 N LOVERS LANE RD, 4, MILWAUKEE, WI 53225-3078
(262) 501-9469
Mailing address
5218 N LOVERS LANE RD, #4, MILWAUKEE, WI 53225
(262) 501-9469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3209-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811209331
—
WI
Enumeration date
07/13/2010
Last updated
11/10/2013
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