Individual
ADAM HACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
316 N MILWAUKEE ST, MILWAUKEE, WI 53202-5885
(888) 389-9030
Mailing address
1911 BROOKS CT, WEST BEND, WI 53090-1789
(815) 999-9930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4962-26
WI
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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