Individual
VICKY LYNN WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
620 PARKINS AVENUE, MILLTOWN, WI 54858
(715) 825-3539
Mailing address
PO BOX 292, MILLTOWN, WI 54858-0292
(715) 825-3539
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4733-027
WI
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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