Individual
TINA KOLLMANSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
725 W PARK AVE, CHIPPEWA FALLS, WI 54729-3276
(715) 720-2058
Mailing address
W2292 COUNTY HIGHWAY H, CHILI, WI 54420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1834-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40764300
—
WI
Enumeration date
05/23/2007
Last updated
07/08/2007
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