Individual
MRS. VICTORIA SUE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-3028
Mailing address
445 GRANDVIEW CIR, ADELL, WI 53001-1164
(920) 254-7209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
430 - 027
WI
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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