Individual
MS. HEIDI R BORRESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4801 RIVERCREST DR N, LA CROSSE, WI 54601-2285
(608) 864-1654
Mailing address
4801 RIVERCREST DR N, LA CROSSE, WI 54601-2285
(608) 864-1654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7017-27
WI
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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