Individual
HALEY MARIE CERNOHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106464
MN
Other
Enumeration date
05/10/2021
Last updated
10/25/2022
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