MEDICARE: MS. MARLENE KAY FORBUSH OTR

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
1	225XP0019X	Physical Rehabilitation Occupational Therapist	3073-26	WI

General Provider Information

NPI Number	:	1841560885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARLENE KAY FORBUSH OTR

Provider Business Mailing Address
First Line	:	2448 S 102ND STREET SUITE 340
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-2141
Country	:	US
Telephone Number	:	414-329-2500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2448 S 102ND STREET SUITE 340
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53227-2141
Country	:	US
Telephone Number	:	414-329-2500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2012
Last Update Date	:	03/15/2023

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