Most Relevant Information
Provider Data
| NPI Number: | 1003254418 |
| Provider Name: | MELISSA BROOK OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5362-26 |
Most Important Dates
| Enumeration Date: | 06/07/2013 |
| Last Updated: | 06/07/2013 |
Provider Practice Location
2115 E WOODSTOCK PL
MILWAUKEE
WI
532021342
Practice Location Phone/Fax
| Phone: | 4142711020 |
| Fax: |
Provider Mailing Location
W258N6906 VICTORIA CIR
SUSSEX
WI
530892557
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |