Individual
ANGELA PICKHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
50 WOLVERTON AVE, RIPON, WI 54971-1050
(920) 748-5638
Mailing address
50 WOLVERTON AVE, RIPON, WI 54971-1050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
8781
WI
Other
Enumeration date
05/24/2023
Last updated
12/09/2024
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