NPI 1023854767
Joseph Fantin, OTR
Practice location
- Address
- 11281 N Lake Shore Dr, Mequon, WI 53092-3566
- Phone
- (262) 402-8131
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1023854767
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jul 2024
- Record last updated
- 2 Jul 2024
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.