Individual
MICHELE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 670-4300
Mailing address
795 RIDGE VIEW DR, HARTFORD, WI 53027-2245
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1564
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40708800
—
WI
Enumeration date
05/14/2007
Last updated
12/08/2021
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