Individual
MELISSA HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
Mailing address
718 WALDROFF FARM RD, HUDSON, WI 54016-7685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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