Individual
RENEE JOHNSON WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
3151 COUNTY ROAD CH, DODGEVILLE, WI 53533-3151
(608) 935-3321
Mailing address
325 W NORTH ST, DODGEVILLE, WI 53533-1001
(608) 553-2247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4972-27
WI
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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