NPI 1003965500

Mary Ognenoff, OTR

Practitioner Occupational Therapist West Bend, WI

Practice location

Address: 3200 Pleasant Valley Rd, West Bend, WI 53095-9274
Phone: (262) 677-6805
Fax: (262) 677-6801
Mailing address: 151 N German St, Mayville, WI 53050-1311

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 1760-026 (WI)

Other Occupational Therapist providers in Wisconsin →

Registry record

NPI: 1003965500
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.