Individual
ANNIKA WONTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6321
Mailing address
301 E 2ND ST, RICHLAND CENTER, WI 53581-1900
(608) 647-6321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5198-27
WI
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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