Individual
TERESA WESTBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1510 FREMONT ST, ALGOMA, WI 54201-1948
(920) 487-9888
(920) 433-8765
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 487-9888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
85
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40645400
—
WI
Enumeration date
09/22/2006
Last updated
08/09/2024
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