Individual
MICHELLE MASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
(262) 821-3939
Mailing address
1755 N BARKER RD, BROOKFIELD, WI 53045-1801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3170-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40822300
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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