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Individual

ABBY R HUFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS-OTR/L

Contact information

Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
1311 E WABASH AVE, WAUKESHA, WI 53186-6824

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
131535
KY
225XP0200X
Pediatric Occupational Therapist
Primary
5090-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100204350
KY
Enumeration date
02/20/2012
Last updated
01/15/2018
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