Individual
MAI SEE EHLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
Mailing address
2524 OAKWOOD CT, APPLETON, WI 54911-2251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5490
WI
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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