Individual
HEIDI GORMAN SUNDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
Mailing address
PO BOX 752, WASHBURN, WI 54891-0752
(715) 373-5807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4708-027
WI
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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