Individual
HEATHER NICOLENA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
38 W SEDGEMEADOW ST, ELKHORN, WI 53121-4299
(262) 723-7079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4472-026
WI
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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