Individual
PAMELA ANN ORLANDOWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13255 W BLUEMOUND RD STE 103, BROOKFIELD, WI 53005-6245
(262) 796-0600
Mailing address
S108W34767 JACKS BAY RD, MUKWONAGO, WI 53149-9505
(414) 732-4865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
472-26
WI
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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