Michael J Mike, OTR

NPI #1033290598 in Woodruff, Wisconsin

Provider Information

NPI Number: 1033290598
Entity Type: Individual
Name: Michael J Mike, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Oct 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 240 MAPLE STREET
City: Woodruff
State: Wisconsin
ZIP Code: 54568-0470
Phone: (715) 356-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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