Organization
WASHBURN COUNTY HEALTH AND HUMAN SERVICES DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BINA (DIRECTOR)
(715) 468-4747
Entity
Organization
Contact information
Practice address
110 4TH AVE W, SHELL LAKE, WI 54871
(715) 468-4747
(715) 468-4753
Mailing address
PO BOX 250, 110 4TH AVE W, SHELL LAKE, WI 54871-0250
(715) 468-4747
(715) 468-4753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41232400
—
WI
Enumeration date
05/28/2008
Last updated
05/28/2008
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