Individual
MEGHAN R DRIESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1609 COOLIDGE ST, NEW HOLSTEIN, WI 53061-1629
(920) 898-5627
(920) 898-1375
Mailing address
1013 HENNES CT, KAUKAUNA, WI 54130-2627
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
1783-019
WI
Other
Enumeration date
11/02/2011
Last updated
06/05/2013
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