Individual
REGINA HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 S FREMONT ST, PRAIRIE DU CHIEN, WI 53821-2331
(608) 326-8471
Mailing address
700 S FREMONT ST, PRAIRIE DU CHIEN, WI 53821-2331
(608) 326-8471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
407294
WI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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