Mrs. Melanie Kay Hertzog
Occupational Therapist - Neurorehabilitation
2025 E Newport Ave
Milwaukee
, Wisconsin 53211-2906
Mrs. Melanie Kay Hertzog
Occupational Therapist - Neurorehabilitation
2025 E Newport Ave
Milwaukee
, Wisconsin 53211-2906
(414) 534-8639
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Melanie Kay Hertzog
- 1940 N Prospect Ave #50
- Milwaukee, WI
- Zip : 53202-1493
- Phone : (414) 534-8639
Second Address
- Mrs. Melanie Kay Hertzog
- 2025 E Newport Ave
- Milwaukee, WI
- Zip : 53211-2906
- Phone : (414) 961-4164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 4475-26 | WI |
National Provider Identifier
| NPI | 1578772760 |
|---|---|
| Provider Name | Mrs. Melanie Kay Hertzog |
| First Address | Milwaukee, WI 53202-1493 |
| Second Address | Milwaukee, WI 53211-2906 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.