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Contact Information

MARY T ORTELL, OCCUPATIONAL THERAPI
18740 W BLUEMOUND RD
BROOKFIELD, WI53045
 Phone: 262-641-8728
 Fax: 262-797-8306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY T ORTELL · (Female)

NPI # 1023297975
Status Active
Credentials OCCUPATIONAL THERAPI
Entity Individual
Enumeration date 10/29/2007
Last updated 10/29/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2927026
  • WI Medicaid 40818800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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