Individual
MRS. JUDY ANN WEISHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
41 RICKEL RD, SUN PRAIRIE, WI 53590-1840
(608) 837-8529
Mailing address
516 GALWAY TER, COTTAGE GROVE, WI 53527-8109
(608) 345-6179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
563-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558592345
—
WI
Enumeration date
07/28/2009
Last updated
10/18/2016
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