Healthcare Provider Details

I. General information

NPI: 1225946056
Provider Name (Legal Business Name): MS. TERESA MAE VOLLMERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 W VLIET ST
MILWAUKEE WI
53208-2698
US

IV. Provider business mailing address

3007 N 89TH ST
MILWAUKEE WI
53222-4607
US

V. Phone/Fax

Practice location:
  • Phone: 414-393-3195
  • Fax:
Mailing address:
  • Phone: 414-438-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2457-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: