Mary Kirchberg, OTR

NPI #1871653485 in De Forest, Wisconsin

Provider Information

NPI Number: 1871653485
Entity Type: Individual
Name: Mary Kirchberg, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 12, 2006
Last Updated: Jan 15, 2015

Practice Location

Address: 4200 SAVANNAH DR
City: De Forest
State: Wisconsin
ZIP Code: 53532-2909
Phone: (608) 417-3370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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