Individual
GENEVIEVE K OHERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT.
Contact information
Practice address
N4981 DUCK CREEK RD, HELENVILLE, WI 53137-9617
(262) 593-2511
Mailing address
N4981 DUCK CREEK RD, HELENVILLE, WI 53137-9617
(262) 593-2511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4238-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40195000
—
WI
Enumeration date
04/30/2008
Last updated
04/30/2008
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