Individual
JULIA NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 PARK LANE DR, LA CROSSE, WI 54601-7747
(608) 789-4800
Mailing address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4619-27
WI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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