Individual
MANDI ANN HERWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
323 WEST MONROE STREET, WYOCENA, WI 53969
(608) 429-2181
Mailing address
N7584 STONEHAVEN DR, PORTAGE, WI 53901-9149
(608) 742-3067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1361-027
WI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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