Individual
CHELSEE L BIRKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1142 ORLANDO DR, DE PERE, WI 54115-9484
(920) 339-0700
Mailing address
1142 ORLANDO DR, DE PERE, WI 54115-9484
(920) 339-0700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3008
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40836600
—
WI
Enumeration date
12/07/2005
Last updated
07/08/2007
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