Marisa Albers
Individual provider Active NPI Occupational Therapy Assistant · Green Bay, WI
NPI 1982259123 · NPPES record last updated Aug 5, 2019
Key facts
- NPI
- 1982259123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 408805 (WI)
- Practice address
- 1760 Shawano Ave
Green Bay, WI 54303-3216 - Phone
- (920) 499-5191
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408805 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 408805 | WI | Yes |
Addresses
Primary practice location
1760 Shawano Ave
Green Bay, WI 54303-3216
Mailing address
2046 Stone Silo Cir
De Pere, WI 54115-8380
Other providers in Green Bay, WI
- Fatema Al-Wahshi
- Alan W Resch Enterprises SC
- Bahareh Nicole Alavi-Dunn
- Joseph Francis Albers
- Madeline J Albers
- Valerie Mary Albers
- Susan F Albertson
- William Victor Albiero
- Robyn Albright
- Aaron Michael Alexander-Wolf
All providers in Green Bay, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.