Individual provider · Type 1 NPI

Mary R. Brayton, MS, OTR

Occupational Therapist · Antigo, WI

NPI number 1659497089 Active

Practice location

112 E 5th Ave
Antigo, WI 54409-2710

Call (715) 623-9469 Map

Mailing address

N6291 State Highway 55
White Lake, WI 54491-9632

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1737-026 (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 1659497089

Mary R. Brayton, MS, OTR's National Provider Identifier is 1659497089, issued on Mar 21, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Antigo, WI. The record was last updated on Jul 9, 2007.