Individual
HOLLIE PORTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W SEMINARY ST, RICHLAND CENTER, WI 53581-2036
(608) 647-8931
Mailing address
26357 COUNTY HWY Y, RICHLAND CENTER, WI 53581-8721
(608) 632-1641
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5747-27
WI
Other
Enumeration date
01/23/2022
Last updated
09/09/2025
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