Individual
HEIDI ANN BERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
203 S ANNE ST, KIMBERLY, WI 54136-1322
(920) 749-4875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
617
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40674700
—
WI
Enumeration date
01/25/2007
Last updated
07/09/2007
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