Individual
MRS. CHRISTINA MARIE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
211 E PECKHAM ST, NEENAH, WI 54956-4128
(920) 851-5886
Mailing address
211 E PECKHAM ST, NEENAH, WI 54956-4128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4880-27
WI
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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