Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ognenoff, OTR

Individual provider Occupational Therapist · NPI 1003965500

Mary Ognenoff, OTR is an Occupational Therapist in West Bend, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 677-6805
Fax: (262) 677-6801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1760-026 (WI)

Record details

NPI number1003965500
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 9, 2007
Mailing address151 N German St, Mayville, WI 53050-1311

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