Individual
MAKAYLA VAN DE HEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2765 SUSSEX RD, GREEN BAY, WI 54311-7295
(920) 391-2425
Mailing address
200 S BROADWAY, GREEN BAY, WI 54303-1516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6897-26
WI
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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