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1073824595
THERESA RITA MAYER
APPLETON, WI
NPI
1073824595
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Former Name
THERESA RITA MOES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 4880026)
Enumeration Date
2010-06-30
Last Update Date
2010-12-22
Business Address
THERESA RITA MAYER OTR
1650 TRI PARK WAY
APPLETON, WI 54914-1652
Phone number: 920-830-6697
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Mailing Address
THERESA RITA MAYER OTR
N2598 STATE ROAD 47
APPLETON, WI 54913-9731
Phone number:
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