Heather D Wuolle COTA

NPI 1376520072 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1376520072
Gender Female
Enumeration Date 12/23/2005
Last Updated 12/22/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
507 S MAIN ST
VERNON MEMORIAL HEALTHCARE
VIROQUA WI, 54665-2059, US
Phone (608) 637-2101
Fax (608) 637-4382
Business Location
507 S MAIN ST
VERNON MEMORIAL HEALTHCARE
VIROQUA WI, 54665-2059, US
Phone (608) 637-2101
Fax (608) 637-4382
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1681
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According to our database, Ms. Heather D Wuolle COTA NPI is 1376520072, taxonomy code is 224Z00000X and license number is 1681, license state is located at Wisconsin. Heather D Wuolle COTA physically located at 507 S Main St, Viroqua WI, 54665-2059. NPI Number Heather D Wuolle COTA has the Individual type.

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1376520072 NPI number is provided on an as is basis without warranty of any kind. 1376520072 is maintained by the National Plan & Provider Enumeration System. The contents of Heather D Wuolle COTA are for informational purposes only.