Individual
HEATHER ANN TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
860 SUNSET LN APT 10, RICHLAND CENTER, WI 53581-1140
(608) 383-1330
Mailing address
860 SUNSET LN APT 10, RICHLAND CENTER, WI 53581-1140
(608) 383-1330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4618-027
WI
225X00000X
Occupational Therapist
Primary
5910-26
WI
Other
Enumeration date
11/04/2008
Last updated
06/09/2017
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