Individual
MRS. MAUREEN ANN HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N3995 ANNEX RD, JEFFERSON, WI 53549-9618
(920) 674-7386
Mailing address
279 RIDGEVIEW DR, LAKE MILLS, WI 53551-1949
(920) 285-1928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3942-026
WI
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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