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Contact Information

ELLEN A DEMEYER, OTR
305 S. CLARK ST.
MAYVILLE, WI53050
 Phone: 920-387-1370
 Fax: 920-387-2429
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELLEN A DEMEYER · (Female)

NPI # 1427262989
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 05/10/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2011-26
  • WI Medicaid 41039400
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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