Individual
HOLLY RUTH PERSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3821 KOHLER MEMORIAL DR STE 102, SHEBOYGAN, WI 53081-3600
(920) 208-9648
Mailing address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7046-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
907401090
UNITEDHEALTHCARE
IL
Enumeration date
07/27/2021
Last updated
02/08/2023
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