Mary Ognenoff in West Bend - Occupational Therapist

Mary Ognenoff - NPI 1003965500

Mary Ognenoff is a Occupational Therapist in West Bend, Wisconsin. Mary Ognenoff practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary Ognenoff is 1003965500. The last update date is 2007-07-09.

Mary Ognenoff's current location address is 3200 Pleasant Valley Rd, West Bend, Wisconsin. You can contact this provider via phone number 2626776805 and fax number 2626776801. The mailing address for Mary Ognenoff is 3200 Pleasant Valley Rd, West Bend, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ognenoff
Address 3200 Pleasant Valley Rd, West Bend, Wisconsin
Phone Number 2626776805
Fax Number 2626776801
Sole Proprietor Y
Credentials OTR

NPI Number Detail

NPI Number 1003965500
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3200 Pleasant Valley Rd
City West Bend
State Wisconsin (WI)
Post Code 530959274
Phone Number 2626776805
Fax Number 2626776801

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 1760-026
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40814700 WI --

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FAQs about Mary Ognenoff

What is the unique identifier code issued to Mary Ognenoff by the Centers for Medicare & Medicaid Services?

The Mary Ognenoff has been assigned the NPI (National Provider Identifier) 1003965500. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mary Ognenoff is geographically located?

The Mary Ognenoff is physically situated at the following location: 3200 Pleasant Valley Rd, West Bend, WI, 530959274.

What is Mary Ognenoff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Ognenoff is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003965500 to Mary Ognenoff?

The Centers for Medicare & Medicaid Services originally issued the 1003965500 to Mary Ognenoff on 2007-01-10.

As of what date was the information pertaining to Mary Ognenoff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary Ognenoff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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