Individual
MARY HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
S11W29667 SUMMIT AVE, WAUKESHA, WI 53188-9476
(262) 565-6124
Mailing address
S87W24855 EDGEWOOD AVE, BIG BEND, WI 53103-9797
(262) 378-1831
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7042-27
WI
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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