Individual provider · Type 1 NPI
Mary Margaret Leising, OTR
Specialist · Portage, WI
NPI number
1740475318
Active
Practice location
2817 New Pinery Rd
Portage, WI 53901-9257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3711-026 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1740475318
Mary Margaret Leising, OTR's National Provider Identifier is 1740475318, issued on Sep 7, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portage, WI. The record was last updated on Sep 7, 2007.