Individual
MRS. LINDA MARIE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
500 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 424-0094
(262) 896-6879
Mailing address
439 S MORELAND BLVD, WAUKESHA, WI 53188-4915
(262) 547-6832
(262) 896-6879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
40796900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40796900
—
WI
Enumeration date
03/21/2007
Last updated
07/09/2007
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