Individual
MARISA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 SYCAMORE ST, SAUK CITY, WI 53583-1013
(608) 643-3383
Mailing address
245 SYCAMORE ST, SAUK CITY, WI 53583-1013
(608) 643-3383
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5521
WI
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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