Most Relevant Information
Provider Data
| NPI Number: | 1003072497 |
| Provider Name: | JOANNE MARY WIRTZ MS OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2841 |
Most Important Dates
| Enumeration Date: | 08/05/2008 |
| Last Updated: | 08/05/2008 |
Provider Practice Location
1275 S ROBINSON AVE
GREEN BAY
WI
543115537
Practice Location Phone/Fax
| Phone: | 9207373077 |
| Fax: |
Provider Mailing Location
1275 S ROBINSON AVE
GREEN BAY
WI
543115537
Provider Mailing Phone/Fax
| Phone: | 9207373077 |
| Fax: |