Individual
MRS. SHERESE D HILDENBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1516 W MEQUON RD, STE 102, MEQUON, WI 53092-3264
(262) 240-1202
(262) 240-1205
Mailing address
1516 W MEQUON RD, STE 102, MEQUON, WI 53092-3264
(262) 240-1202
(262) 240-1205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
738-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000283140
PTAN
WI
Enumeration date
08/23/2005
Last updated
06/14/2013
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