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NPI Code Detail

MEDICARE: MACKENZIE JOY WEINBERGER OTD

MEDICARE: MACKENZIE JOY WEINBERGER OTD
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 Therapist9057-26WI

General Provider Information

NPI Number : 1558219618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE JOY WEINBERGER OTD
Provider Business Mailing Address
First Line : 2704 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-3768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S 103RD ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53227-4104
Country : US
Telephone Number : 414-440-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ MACKENZIE JOY WEINBERGER OTD” Practice Location

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