Individual
JOHN HEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6700
Mailing address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
4071-026
WI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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