Individual
TAMI WARNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
(262) 365-5253
Mailing address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
880-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40847400
—
WI
Enumeration date
10/24/2011
Last updated
10/24/2011
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