Individual
TAMARA NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3447
(920) 846-0754
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-0250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5162-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014110
—
WI
01
—
1326349135
CMH SB NPI
WI
01
—
1851477913
CMH NPI
WI
Enumeration date
06/20/2012
Last updated
06/20/2012
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