Individual
JULIE M CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
291-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40815500
—
WI
Enumeration date
04/02/2008
Last updated
04/02/2008
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