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NPI Code Detail

MEDICARE: VICKI PIOTROWSKI

MEDICARE: VICKI PIOTROWSKI
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 Therapist2373-26WI

General Provider Information

NPI Number : 1063796084
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI PIOTROWSKI
Provider Business Mailing Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5700 MOCKINGBIRD LN
Second Line :
City : GREENDALE
State : WI
Zip : 53129-1442
Country : US
Telephone Number : 414-423-1399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2011
Last Update Date : 10/10/2011

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Directions to “ VICKI PIOTROWSKI ” Practice Location

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