Individual provider · Type 1 NPI

Mary Ognenoff, OTR

Occupational Therapist · West Bend, WI

NPI number 1003965500 Active

Practice location

3200 Pleasant Valley Rd
West Bend, WI 53095-9274

Call (262) 677-6805 Map

Fax (262) 677-6801

Mailing address

151 N German St
Mayville, WI 53050-1311

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1760-026 (WI)

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003965500

Mary Ognenoff, OTR's National Provider Identifier is 1003965500, issued on Jan 10, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Bend, WI. The record was last updated on Jul 9, 2007.