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NPI Code Detail

MEDICARE: TESSA MARIE VALLEE

MEDICARE: TESSA MARIE VALLEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist8376-26WI

General Provider Information

NPI Number : 1649056169
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA MARIE VALLEE
Provider Business Mailing Address
First Line : 6674 RONALD REAGAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-2395
Country : US
Telephone Number : 414-659-5789
Fax Number :
Provider Business Practice Location Address
First Line : 6674 RONALD REAGAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-2395
Country : US
Telephone Number : 608-556-6120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2023
Last Update Date : 08/31/2023

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Directions to “ TESSA MARIE VALLEE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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