Individual
CAROL MARIE WINGENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3285 SUNNYVIEW LN, BROOKFIELD, WI 53005-2970
(262) 783-9863
Mailing address
3285 SUNNYVIEW LN, BROOKFIELD, WI 53005-2970
(262) 783-9863
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1116-026
WI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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