Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anton Russell Bansemer

Individual provider Occupational Therapy Assistant · NPI 1659912368

Anton Russell Bansemer is an Occupational Therapy Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
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Practice location Address checks out

6735 W Bradley Rd
Milwaukee, WI 53223-3325
Phone: (414) 354-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5608-27 (WI)

Record details

NPI number1659912368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

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