Individual
REHNA MARIE BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2020 S WEBSTER AVE, GREEN BAY, WI 54301-2291
(920) 445-7222
Mailing address
2020 S WEBSTER AVE, GREEN BAY, WI 54301-2291
(920) 445-7222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
651-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651-026
LICENSE
WI
Enumeration date
06/29/2006
Last updated
07/08/2007
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