Mary Ognenoff, OTR

NPI #1003965500 in West Bend, Wisconsin

Provider Information

NPI Number: 1003965500
Entity Type: Individual
Name: Mary Ognenoff, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Jan 10, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 3200 PLEASANT VALLEY RD
City: West Bend
State: Wisconsin
ZIP Code: 53095-9274
Phone: (262) 677-6805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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