Individual
MS. JOANNE LEE WIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W1364 CTY RD YY, OGEMA, WI 54459-8446
(715) 546-3303
Mailing address
W1364 CTY RD YY, OGEMA, WI 54459-8446
(715) 546-3303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
904027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40890700
—
WI
Enumeration date
04/17/2008
Last updated
04/17/2008
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