MS. MARY CROCKETT, OTRL

Occupational Therapist

Active Individual
NPI: 1417160169

Practice Address

1800 NEW YORK AVE
Superior, WI 54880

Phone: (715) 394-5591

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X No 101276 (MN)

Frequently Asked Questions

NPI 1417160169 is the National Provider Identifier for MS. MARY CROCKETT, OTRL, a Occupational Therapist provider located in Superior, WI. This NPI was enumerated on May 8, 2007.
MS. MARY CROCKETT, OTRL practices at 1800 NEW YORK AVE, Superior, WI 54880.

Quick Facts

NPI
1417160169
Type
Individual
Enumerated
May 8, 2007
Last Updated
Jul 8, 2007

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