Mary R Brayton in Antigo - Occupational Therapist
Mary R Brayton - NPI 1659497089
Mary R Brayton is a Occupational Therapist in Antigo, Wisconsin. Mary R Brayton practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary R Brayton is 1659497089. The last update date is 2007-07-09.
Mary R Brayton's current location address is 112 E 5th Ave, Antigo, Wisconsin. You can contact this provider via phone number 7156239469. The mailing address for Mary R Brayton is 112 E 5th Ave, Antigo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary R Brayton |
|---|---|
| Address | 112 E 5th Ave, Antigo, Wisconsin |
| Phone Number | 7156239469 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS, OTR |
NPI Number Detail
| NPI Number | 1659497089 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 112 E 5th Ave |
|---|---|
| City | Antigo |
| State | Wisconsin (WI) |
| Post Code | 544092710 |
| Phone Number | 7156239469 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1737-026 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40611300 | WI | -- | |
| 1737-026 | WI | OT STATE LICENSURE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary R Brayton?
The Mary R Brayton has been issued the NPI (National Provider Identifier) 1659497089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mary R Brayton is geographically located?
The Mary R Brayton is physically situated at the following location: 112 E 5Th Ave, Antigo, WI, 544092710.
What is Mary R Brayton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary R Brayton's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659497089 to Mary R Brayton?
The Centers for Medicare & Medicaid Services assigned the 1659497089 to Mary R Brayton on 2007-03-21.
As of what date was the information regarding Mary R Brayton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary R Brayton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.