Individual
MARISA ALBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
Mailing address
2046 STONE SILO CIR, DE PERE, WI 54115-8380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
408805
WI
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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