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Individual

LINDA HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2826
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2121

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3476-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40830900
WI
Enumeration date
01/16/2007
Last updated
07/08/2007
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