Individual
MRS. ANNETTE T. KIRKISH-MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13485 W OLD OAK LN, NEW BERLIN, WI 53151-2531
(262) 797-8872
Mailing address
13485 W OLD OAK LN, NEW BERLIN, WI 53151-2531
(262) 797-8872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1429-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40507200
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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