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Individual

HANNA M HERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2248

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-009600
IL
225X00000X
Occupational Therapist
Primary
5188-26
WI

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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