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Individual

REBECCA HETTENHAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 729-2155
(920) 720-7350
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 729-2155
(920) 720-7350

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
316003
CO
225X00000X
Occupational Therapist
Primary
7004
WI

Other

Enumeration date
10/29/2013
Last updated
09/28/2021
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