Individual
EMILY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-1116
Mailing address
322 2ND AVE SW, MILLTOWN, WI 54858-9021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5559-27
WI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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