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Individual

MS. HEATHER D WUOLLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
507 S MAIN ST, VERNON MEMORIAL HEALTHCARE, VIROQUA, WI 54665-2059
(608) 637-2101
(608) 637-4382
Mailing address
507 S MAIN ST, VERNON MEMORIAL HEALTHCARE, VIROQUA, WI 54665-2059
(608) 637-2101
(608) 637-4382

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1681
WI

Other

Enumeration date
12/23/2005
Last updated
12/22/2014
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