Individual
HAILEY RENEE RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 RIDGE ST, STOUGHTON, WI 53589-5004
(608) 873-5651
(608) 205-6808
Mailing address
930 MESA DR, OREGON, WI 53575-2841
(608) 449-8382
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7254-27
WI
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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