Individual
CARLY ANNE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
11375 HILL N DALE DR, MINOCQUA, WI 54548-9517
(715) 301-6397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105015
MN
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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