MARY SMITH

HUDSON, WI
NPI1346648540
Former NameMARY MEYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4785-27)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: MN  201666)
Enumeration Date2014-12-21
Last Update Date2014-12-21
Business Address
-- MARY SMITH
1320 WISCONSIN ST
HUDSON, WI 54016-1861
Phone number: 715-386-4528
Mailing Address
-- MARY SMITH
1414 RIDGE RUN
NEW RICHMOND, WI 54017-6946
Phone number: 715-417-0770