Individual
NICOLE HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
208 MEMPHIS AVE, MADISON, WI 53714-1807
(920) 901-1785
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5433-27
WI
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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