Individual
MS. CHERYL WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2826
Mailing address
2080 COUNTY ROAD A, ATHENS, WI 54411
(715) 257-1456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2086-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40832600
—
WI
Enumeration date
12/28/2006
Last updated
10/26/2012
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