Individual
HEIDI SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E VETERANS ST, BUILDING 402-1200, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
500 E VETERANS ST, BUILDING 402-1200, TOMAH, WI 54660-3105
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4578-27
WI
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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