Individual
MISS COLLEEN MARIE MESEROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1995
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5488-026
WI
Other
Enumeration date
08/27/2015
Last updated
09/04/2015
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