Individual
MRS. JOAN ELIZABETH MILLANE-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W283N2122 BEACH RD, PEWAUKEE, WI 53072-5143
(262) 370-2292
Mailing address
W283N2122 BEACH RD, PEWAUKEE, WI 53072-5143
(262) 370-2292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2349-26
WI
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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