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Individual

HILLARY HENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5534
(920) 361-5910

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5413-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100037038
WI
Enumeration date
01/02/2014
Last updated
09/06/2016
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